| Full Name* |
|
| Address |
|
| City and County |
|
| State |
|
| Zip |
|
| Mobile Number |
|
| Work Number |
|
| Home Number |
|
| E-mail* |
|
| Foreclosure Sale Date |
|
| Date of last mortgage payment |
|
| 1st mortgage payment amount |
|
| 2nd mortgage payment amount |
|
| Who is your lender on 1st mortgage? |
|
| Who is your lender on 2nd mortgage? |
|
| Which lender is foreclosing? |
|
| Is this your principal residence? |
|
| How much money will it take you to get your lender
caught up? |
|
| Have you had frequent late payments? |
|
| Have you tried to work out an agreement with a
lender? |
|
If yes, give reason for defaulting?
(If
you did not default, then leave blank) |
|
Years you have been paying on current mortgage(s)
(1st
&/or 2nd combined) |
|
Total monthly verfiable income?
(Include all household incomes, SSI, etc.) |
|
| Total monthly expenses? |
Add monthly
expenses listed below:
- Mortgages 1 & 2
- Utilities
- Water, Sewer & Garbage
- Phone bills (Cell and Home)
- Internet/cable
- Auto payments
- Gas
- Auto
Insurance
- Medical Expenses (out of pocket)
- Monthly
prescription (out of pocket)
- Groceries/Toiletries/Supplies
- Credit Cards
- All other personal loans, etc.
- Child
Care
- Child Support
- Education
*Subtract
Expenses from Income |
| What is your house worth now? |
|
| What is the 1st mortgage payoff amount? |
|
| What is the 2nd mortgage payoff amount? |
|
| Are taxes & insurance included in payment? |
|
| What is your interest rate (fixed or adjustable) on the 1st mortgage? |
|
| What is your interest rate (fixed or adjustable) on the 2nd mortgage? |
|
| What are your annual property taxes? |
|
| What is your annual insurance cost? |
|
DISCLAIMER: The information presented on this website does not constitute legal advice nor the formation of an
attorney-client relationship. Each person accessing this site is encouraged to consult their own independent
legal counsel for advice regarding their specific legal issue.
|
