Completing the Request for Mortgage Assistance

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1 ompleting the Request for Mortgage ssistance Page 1 Section 1 This information must match the information on record at SPS. Section 2 heck the appropriate box to indicate your intent for the property. Section 3 You must write an explanation of your hardship in this field.

2 ompleting the Request for Mortgage ssistance Section 4 Select either Yes or No. Page 2 Section 5 arefully complete this section in full. If you are requesting assistance for multiple properties serviced by SPS, then a separate form must be completed for each property. Section 6 Select Yes if you are living in the home for which you are applying for assistance. Select No if the property for which you are seeking assistance is not your principal residence (it is a rental property or vacation home). If yes was checked and you live in the property serviced by SPS, this section is not required. You do not need to complete the remaining information on this page. 2

3 ompleting the Request for Mortgage ssistance Section 7 Page 3 arefully complete this section. You will be asked to provide proof of income for all income sources listed in this section. Gross Rents Received = the total of all rents from all rental properties. The Other income boxes should be used for any other sources of regular income. Proof of income must be provided. The Other expense boxes should be used for any other types of expenses. Use a separate box for each expense. E ll orrowers must include: a signed IRS Form 4506-T or 4506-T EZ. This is included in your SPS ssistance Review pplication, which can be obtained on the SPS website ( or from F G H I Include the hire date and employer name for all jobs you currently hold. You must provide the most recent pay stubs from all employers. Employer names on the pay stubs should match the information in this section. If you are a seasonal employee, write the number of months for which you are employed during the year in this section. If you are self-employed, you must provide a profit and loss statement. This does not need to be obtained from a financial professional. If you receive tips, commissions, bonuses, a housing allowance or overtime, you must describe the frequency of this income and provide proof of the regular income through documentation. If you receive social security, disability, death benefits, pension, public assistance or adoption assistance, you must provide proof of the regular income through documentation. E F G H I J 3 J isclosure of alimony or child support income is optional. If you choose to disclose this income, you must provide documentation describing the frequency and duration of the income and deposit statements showing receipt of the income.

4 ompleting the Request for Mortgage ssistance Section 7 (continued) If you indicated on page 2 that you receive income from rental property, you must provide proof of the regular income through documentation and deposit statements showing receipt of the income. Section 8 o you have income from rental properties that are not your principal residence? Provide your most recent Federal Tax return with all schedules, including Schedule E. If rental income is not reported on Schedule E or the gross rental amount has changed, provide a copy of the current lease agreement with the two (2) most recent months proof of receipt of payment (such as bank statements or deposit advices). dditional documentation may be required to evidence additional sources of income not mentioned above, proof of occupancy, property tax amounts, homeowner s association fees and additional lien payments. You can find the most current list of required information by logging into your account at and clicking on ssistance Program Status. SETION 8: OTHER PROPERTIES OWNE You must provide information about all properties NOT listed in section 5 (the account for which you are requesting assistance) and section 6 (primary residence) that either the borrower or co-borrower own. Other Property #1 Property ddress: ccount Number: urrent Value $ Page 4 omplete this section if you own any properties other than the property for which you are applying for assistance N other than your principal residence. omplete this section even if you have already provided this information. Servicer Name: Mortgage alance $ Monthly Mortgage Payment* $ Other Property #2 Property ddress: ccount Number: urrent Value $ Servicer Name: Mortgage alance $ Monthly Mortgage Payment* $ Other Property #3 Property ddress: ccount Number: urrent Value $ Servicer Name: Mortgage alance $ Monthly Mortgage Payment* $ Other Property #4 Property ddress: ccount Number: urrent Value $ Servicer Name: Mortgage alance $ Monthly Mortgage Payment* $ Other Property #5 Property ddress: ccount Number: urrent Value $ Servicer Name: Mortgage alance $ Monthly Mortgage Payment* $ Other Property #6 Property ddress: ccount Number: urrent Value $ Servicer Name: Mortgage alance $ Monthly Mortgage Payment* $ * The amount of the monthly payment made to your lender including, if applicable, monthly principal, interest, real property taxes and insurance premiums. **The amount of monthly property tax and insurance expense not included in the monthly mortgage payment. 4

5 ompleting the Request for Mortgage ssistance Section 9 oth the borrower and co-borrower must sign this page. oth borrowers must enter their SSN, date of birth, and today s date (this date must be less than 90 days from the date of your request for assistance). The name on the borrower s signature line must match the name of the borrower on record at SPS. The name on the co-borrower s signature line must match the name of the co-borrower on record at SPS. Note: If you are submitting the form online you will be required to check a box to acknowledge that all information is accurate, and you will be required to type your name twice in the signature field. Page 5 5

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