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1 401 k/esop Aounts Assets 401 k/esop Aounts sum of 401k at balanes Case Profile/Assets Cars Assets Cars Cheking aounts Assets Cheking aounts sum of heking at balanes. Case Profile/Assets Eduational Saving Programs Assets Eduational Saving Programs Home / Personal Residene Assets Home / Personal Residene Market Value GPS/Subjet Property IRA/Keogh Aounts Assets IRA/Keogh Aounts Life Insurane (Whole life not Term) Assets Life Insurane (Whole life not Term) Other Assets Other Other Real Estate Assets Other Real Estate sum of present mrkt value of all other real estate Case Profile/Assets/RE Saving / money markets aounts Assets Saving / money markets aounts sum of savings at balanes. Case Profile/Assets Stok, Bonds, CDs Assets Stok, Bonds, CDs sum of investment at balanes. Case Profile/Assets Child Support / Alimony (monthly) Co-Borrower monthly inome Monthly Child Support inome Child Support GPS/Inome/Other Inome Commissions, bonus and selfemployed inome (monthly) Co-Borrower monthly inome Monthly ommission, bonus and self-employed inome. Commissions GPS/Inome/Other Inome Disability Inome / SSI (monthly) Co-Borrower monthly inome Monthly Disability inome Food stamps/welfare Co-Borrower monthly inome Food stamps/welfare AFDC GPS/Inome/Other Inome Gross Salary / Wages (monthly) Co-Borrower monthly inome Monthly gross salary of the Co-borrower Monthly Gross GPS/Inome Summary Other (Investment inome,royalties, Interest, dividends et) Co-Borrower monthly inome Other (Investment inome, royalties, Interest, dividends et) Dividends/Interest GPS/Inome/Other Inome Other / Additional inome (monthly) Co-Borrower monthly inome Monthly additional inome Other Inome GPS/Inome/Other Inome Other monthly inome from pensions, annuities or retirement plans Co-Borrower monthly inome Other monthly inome from pensions, annuities or retirement plans Overtime Co-Borrower monthly inome Overtime Overtime GPS/Inome/Other Inome Rental Inome (monthly) Co-Borrower monthly inome Monthly rental inome Rental Inome GPS/Inome/Other Inome Total Monthly Take Home (Net Inome) Co-Borrower monthly inome Monthly take home pay of the Co-borrower Monthly Net GPS/Inome Summary Page 1 of 9

2 Unemployment Inome (monthly) Co-Borrower monthly inome Monthly Unemployment Inome Are you urrently or have you been working with a ounselor? Counselor Information string Counselor Assign Counselor list box Contat Number Counselor Information string Counselor Name Contat Phone Admin/Ageny Counselor Counselor Information string Counselor Number Counselors/ Admin/Counselors text Name of Counseling Ageny Counselor Information string Counseling ageny name Organization Admin/Ageny text Auto Loan Balane Expenses Auto loan Balane Credit Card Balane Expenses Credit Card Balane sum of all edit ard balanes (derived) GPS/Liabilities Federal and State Tax, FICA Expenses Federal and State Tax, FICA Homeowners Assoiation (HOA) Fees/Dues Expenses Homeowners Assoiation (HOA) Fees / Dues Monthly Homeowner's Insurane Payment (If not inluded in your monthly mortgage Expenses Monthly home owner's insurane payment Monthly Payment (urrent Monthly Mortgage payment(first Mortgage) Expenses Monthly first mortgage payment value) GPS/Liens Monthly Mortgage payment(seond Monthly Payment (urrent Mortgage) Expenses Monthly seond mortgage payment value) GPS/Liens Monthly Other Insurane (i.e. wind, flood, If not inluded in your monthly mortgage Expenses Other Insuranes Monthly Property Taxes (If not inluded in your monthly mortgage payment) Expenses Monthly property taxes Other Dedutions (401k, et) Expenses Other Dedutions (401k, et) Other Expenses Expenses Other Expenses Other Mortgage(s) Expenses Other Mortgages Liens (summ of all loans other than 1st and 2nd) - Derived GPS/Liens Personal Loan(s) / Student Loan(s) Expenses Personal loan or student loan Min monthly payment of Student Loan GPS/Liabilities Rent Paid Numeri Expenses Rent paid Housing Payment GPS/Budget Total Minimum Monthly Credit Card Payment(s) Expenses Minimum monthly redit ard payment sum of all edit ard payments (derived) GPS/Liabilities Total Monthly Automobile Expenses / Gasoline / Insurane Expenses Monthly automobile expenses auto insurane+gasoline (derived) GPS/Budget Total Monthly Child Support/Care Expenses Expenses Monthly hild support expenses hild support/alimony GPS/Budget Page 2 of 9

3 Total Monthly Food Expenses Expenses Monthly food expenses Food and Groeries+Food at work (derived) GPS/Budget Total Monthly insurane Payment Expenses Total Monthly health insurane payment Health Insurane GPS/Budget Total Monthly Medial Expenses Expenses Monthly medial expenses Total Monthly Transportation Expenses Expenses Monthly transportation expenses Total Monthly Water / Sewer / Expenses Total Monthly Water / Sewer Water/ Sewer GPS/Budget Utilities / Phone Expenses Expenses Telephone GPS/Budget Reason #1 Hardship Reasons string Delinqueny reason1 Default Reason GPS/Client Information list box Reason #2 Hardship Reasons string Delinqueny reason2 Reason #3 Hardship Reasons string Delinqueny reason3 Co-Borrower Employer's Address1 Employment Information string Address1 of Co-Borrower Employer Address GPS/Employement Inome text Co-Borrower Employer's Address2 Employment Information string Address2 of Co-Borrower Employer Co-Borrower Employer's Address3 Employment Information string Address3 of Co-Borrower Employer Co-Borrower Employer's City Employment Information string City Name City GPS/Employement Inome text Co-Borrower Employer's County Employment Information string County Name Co-Borrower Employer's Name Employment Information string Name of the employer of Co-Borrower Employer GPS/Employement Inome text Co-Borrower Employer's Phone # Employment Information string Contat Number of the employer Phone GPS/Employement Inome Co-Borrower Employer's State Employment Information string State Name State GPS/Employement Inome list box Co-Borrower Employer's Zip Employment Information string Zip Code Zip Code GPS/Employement Inome Co-Borrower's Employment How Long? Employment Information length of employment derived GPS/Employement Inome Homeowner Employer's Address1 Employment Information string Address1 of Home owner Employer Address GPS/Employement Inome text Homeowner Employer's Address2 Employment Information string Address2 of Home owner Employer Page 3 of 9

4 Homeowner Employer's Address3 Employment Information string Address3 of Home owner Employer Homeowner Employer's City Employment Information string City Name City GPS/Employement Inome text Homeowner Employer's County Employment Information string County Name Homeowner Employer's Name Employment Information string Name of the employer of Home owner Employer GPS/Employement Inome text Homeowner Employer's Phone # Employment Information string Contat Number of the employer Phone GPS/Employement Inome Homeowner Employer's State Employment Information string State Name State GPS/Employement Inome list box Homeowner Employer's Zip Employment Information string Zip Code Zip Code GPS/Employement Inome Homeowner's Employment How long? Employment Information string length of employment derived GPS/Employement Inome Alternate Contat Number Homeowner Information string Alternate ontat number of the home owner Best time to all at Home phone Homeowner Information string Best time to ontat to Home Owner on primary ontat number. Best time to ontat on Alternate Contat Number Homeowner Information string Best time to ontat to Home Owner on alternate ontat number. Best time to ontat on Seondary Contat Number Homeowner Information string Best time to ontat to Home Owner on seondary ontat number City Homeowner Information string City name City Outreah text Co-Borrower Alternate Contat Number Homeowner Information string Alternate ontat number of the Co-Borrower Co-Borrower Best time to ontat on Alternate Contat Number Homeowner Information string Best time to ontat to Co-Borrower on alternate ontat number. Co-Borrower Best time to ontat on Primary Contat Number Homeowner Information string Best time to ontat to Co-Borrower on primary ontat number. Co-Borrower Best time to ontat on Seondary Contat Number Homeowner Information string Best time to ontat to Co-Borrower on seondary ontat number. Co-Borrower address Homeowner Information string address of the Co-Borrower's CoApp text Co-Borrower Fax Number Homeowner Information string Co-Borrower's Fax number Co-Borrower Mailing Address City Homeowner Information string City Name City CoApp text Co-Borrower Mailing Address County Homeowner Information string County Name Co-Borrower Mailing Address State Homeowner Information string State Name State CoApp list box Page 4 of 9

5 Co-Borrower Mailing Address Zip Homeowner Information string Zip ode Zip Code CoApp Co-Borrower Mailing Address1 Homeowner Information string Co-Borrower's mailing address 1 Street Address CoApp text Co-Borrower Mailing Address2 Homeowner Information string Co-Borrower's mailing address 2 Co-Borrower Mailing Address3 Homeowner Information string Co-Borrower's mailing address 3 Co-Borrower Number of dependents at this Homeowner Information Co-Borrower Primary Contat Number Homeowner Information string Co-Borrower's Primary Contat Number Home Phone CoApp Co-Borrower Seondary Contat Number Homeowner Information string Co-Borrower's seondary ontat number Co-Borrower Total Number of persons living at this address Homeowner Information Total Number of persons living at this Home owners address. Number of people in household Intake list box Co-Borrower's Date of birth Homeowner Information string Co-Borrower's Date of Birth Birthdate CoApp date Co-Borrower's First Name Homeowner Information string Co-Borrower s First Name for that partiular ase. First Name CoApp text Co-Borrower's Last Name Homeowner Information string Co-Borrower s Last Name for that partiular ase. Last Name CoApp text Co-Borrower's SSN Homeowner Information string Co-Borrower's SSN County Homeowner Information string County name County Outreah list box Do you permit your mortgage ompany to ontat you via ? Homeowner Information string Homeowner Address Homeowner Information string address of the Home owner Outreah text Homeowner's Date of birth Homeowner Information string Home Owner's Date of Birth Birthdate Intake date Homeowner's First Name Homeowner Information string Home Owner's First Name for that partiular urrent rate GPS/Lien perent Homeowner's Last Name Homeowner Information string Home Owner's Last Name for that partiular ase. Last Name Outreah text Homeowner's SSN Homeowner Information string Home Owner's SSN Mailing Address1 Homeowner Information string Home Owner's mailing address 1 Street Address Outreah text Mailing Address2 Homeowner Information string Home Owner's mailing address 2 Mailing Address3 Homeowner Information string Home Owner's mailing address 3 Number of ars you own? Homeowner Information Number of ar Home Owner own Number of dependents at this address Homeowner Information Number of dependents at this address Primary Contat Number Homeowner Information string Home Owner's Primary Contat Numbe Home Phone Outreah Seondary Contat Number Homeowner Information string Home Owner's seondary ontat number Other Phone Outreah State Homeowner Information string State Name State Outreah list box Total Number of persons living at this address Homeowner Information Total Number of persons living at this Home owners address. Number of people in household Intake list box Zip Homeowner Information string Zip Code Zip Code Outreah Child Support / Alimony (monthly) Homeowner monthly inome Monthly Child Support inome Child Support GPS/Inome/Other Inome Commissions, bonus and selfemployed inome (monthly) Homeowner monthly inome Monthly ommission, bonus and self-employed inome. Commissions GPS/Inome/Other Inome Page 5 of 9

6 Disability Inome / SSI (monthly) Homeowner monthly inome Monthly Disability inome Food stamps/welfare Homeowner monthly inome Food stamps/welfare AFDC GPS/Inome/Other Inome Gross Salary / Wages (monthly) Homeowner monthly inome Monthly gross salary of the home owner Monthly Gross GPS/Inome Summary Other (Investment inome,royalties, Interest, dividends et) Homeowner monthly inome Other (Investment inome, royalties, Interest, dividends et) Dividends/Interest GPS/Inome/Other Inome Other / Additional inome (monthly) Homeowner monthly inome Monthly additional inome Other Inome GPS/Inome/Other Inome Other monthly inome from pensions, annuities or retirement plans Homeowner monthly inome Other monthly inome from pensions, annuities or retirement plans Overtime Homeowner monthly inome Overtime Overtime GPS/Inome/Other Inome Rental Inome (monthly) Homeowner monthly inome Monthly rental inome Rental Inome GPS/Inome/Other Inome Total Monthly Take Home (Net Inome) Homeowner monthly inome Monthly take home pay of the home owner Monthly Net GPS/Inome Summary Unemployment Inome (monthly) Homeowner monthly inome Monthly Unemployment Inome Alimony/Child support Liability Alimony/Child support Dependent Care Liability Dependent Care HOA Fees/Dues Liability HOA Fees/Dues Medial Expenses Liability Medial Expenses Other Liability sum of Medial Expenses+Dentist+mediat ions (derived) GPS/Budget Sum of all mortgage payments with the Other Mortgage(s) Liability Other Mortgage(s) exeption of the 1st and 2nd lien GPS/Liens Personal Loan(s) Liability Personal Loan(s) Rent Liability Rent Housing Payment GPS/Budget Balane Loan Information Balane amount on first mortgage prinipal balane urrent GPS/Lien Balane Loan Information Balane amount on seond mortgage. Host ID Loan Information Host Soure ID. In this ase this ID will be the HopeNow ID assigned by the web portal to be reeived in file. Interest Rate Loan Information Interest Rate urrent rate GPS/Lien perent Page 6 of 9

7 Interest Rate Loan Information Interest Rate prinipal balane urrent GPS/Lien Investor Loan Information string Investor Loan Number Loan Information string Loan Number Servier Loan Number GPS/Lien Mortgage Company / Servier Loan Information string Servier Soure ID. Mortgage ompany name for the ase. Assoiated Servier identifier ID assigned by the web portal for the partiipant Servier. Current Servier GPS/Lien text Seond Mortgage Company /servier Loan Information string Seond Mortgage ompany name for the ase. Current Servier GPS/Lien text Seond Mortgage Loan Number Loan Information string Loan Number of the Seond Mortgage. Servier Loan Number GPS/Lien City Property Information string City name City GPS/Subjet Property text County Property Information string County name County GPS/Subjet Property list box Property Address1 Property Information string Property address 1 Street Address GPS/Subjet Property text Property Address2 Property Information string Property address 2 Property Address3 Property Information string Property address 3 State Property Information string State Name State GPS/Subjet Property list box Zip Property Information Zip Code Zip Code GPS/Subjet Property Are the taxes urrent? Questions string Are the taxes urrent (YES/ NO) Are you having trouble paying your mortgage? Questions string Whether the home owner is having diffiulty in making the mortgage payment (YES/ NO) Default Reason (Derived) Condominium or HOA Fee Yes/No $ Paid to: Questions string Condominium or HOA Fee Yes/No $ Paid to: Did you get your urrent mortgage before January 1,2009? Questions string (YES/ NO) Term months remaining (Derived) Do you pay for a hazard insurane poliy? Questions string Do the borrower have the hazard insurane poliy.(yes/ NO) Do you plan to keep your home? Questions string Whether the home owner want to keep the property for sale (YES/ NO) Do you reeive, and pay, the Real Estate Tax bill on your Home or does your lender pay it for you? I do with hek box Lender does Questions string Whether the home owner or the lender pays the Real Estate Tax bill on the property. (YES/ NO) Have you filed for bankrupty? Questions string Whether the situation of the home owner is short term (under 6 months) or long term (over 6 months) or permanent. Have you reeived a forelosure notie from an attorney? Questions string Has the borrower reeived the forelosure notie from an attorney. (YES/ NO) Page 7 of 9

8 Have you reeived an offer on the property? Yes/No. If Yes then Date of Offer Amount of Offer$ Questions string Have you reeived an offer on the property? Yes/No. If Yes then Date of Offer Amount of Offer$ I believe that my situa on is Short term (under 6 months) Long term (over 6 months) Permanent Questions string Borrower situation is short term (under 6 months) (YES/ NO) Case Term I want to: Keep the Property [hek box] Sell the Property [hek box] Questions string Whether the borrower want to keep the property. Is forelosure sale sheduled? Questions string Is forelosure sale sheduled? Is Property Damaged? Questions string Whether the property Damaged (YES/ NO) Is the amount you owe on your first Whether the loan amount on the first mortgage is Loan Balane Current mortgage equal to less Than $729750? Questions string less than $ (YES/ NO) (Derived) Is the poliy urrent? Yes/No. Name of Insurane Co. Insurane Co. Tel# Questions string Is the property listed for sale? If yes then provide Agent's name, Agent's Phone Numer, Agent's Questions string Is your home your primary residene? Questions string The property is my: Primary Residene, Seond Home, Investment. Questions string This property is: Owner Oupied/Renter Oupied/ Vaant Questions string Is the poliy urrent? Yes/No. Name of Insurane Co. Insurane Co. Tel# If the property is for sale then provide Agent's name, Agent's Phone Numer, Agent's . (YES/NO) IF YES then values in the olumn will be identified by the sub delimiter ; for Agent's Name, Agents Phone and Agent's Address. Whether the home Owner lives in the Mortgage Property. (Yes/ NO) Current Residene list box The Property is Primary Residene/Seond Home/Investment of Borrower. The Property is Owner oupied/renter oupied/vaant. String Have the borrower filed the bankrupty? (YES/ NO) What is bankrupty filed Date? Questions string What is forelosure sale shedule date? Questions string What is forelosure sale shedule date? What is the Bankrupty hapter? Chapter 7 Chapter 13 Questions string Page 8 of 9

9 Who Pays the hazard insurane poliy for your property? I do Lender Does Paid by Condo or HOA Questions string Who Pays the hazard insurane poliy for your property? I do Lender Does Paid by Condo or HOA Page 9 of 9

LOSS MITIGATION APPLICATION

LOSS MITIGATION APPLICATION COMPLETE ALL PAGES OF THIS FORM See Instructions for numbered boxes on page 5. Loan Number:{1} Servicer: {2} BORROWER {3} CO-BORROWER {4} Borrower's Name Co-Borrower's Name