Checklist Completing the Hardship Assistance Application 203169_PNC_Hardship_Checklist_DM.indd 1
PNC Customer Assistance T: 800-523-8654 F: 855-288-3974 203169_PNC_Hardship_Checklist_DM.indd 2
Master Checklist PNC Hardship Assistance Application To avoid delays, please make sure everything you send us is complete and accurate. Write your Loan Account Number on every page of documentation being sent to PNC. When returning your application to PNC, ensure the following documents are faxed or mailed back to us: Form 1: Borrower Information Form 2: Property Details Form 3: Hardship Details Documentation, and Written Explanation Form 4: Income Documentation Form 5: Borrower and Co-Borrower(s) Acknowledgement and Agreement IRS Form: 4506-T Federal Tax Returns: A copy of your completed and signed federal tax returns (and all schedules) from the most recent two years Other Documentation: Identified in the Hardship Assistance Application 203169_PNC_Hardship_Checklist_DM.indd 3
Itemized Checklist NOTE: When reviewing this Checklist, have the Hardship Assistance Application in front of you for reference. This will help you complete the forms and account for the additional documentation to include with each section when you return your application to PNC. For more information on how to use the enclosed checklist, please go to. 1 PNC Customer Assistance T: 800-523-8654 F: 855-288-3974 Hardship Assistance Application If you are experiencing temporary or long-term financial hardship and need help, please complete and submit all sections of this application to PNC. In addition to IRS Form 4506-T, all other required pages are identified as Return this to PNC. Please be sure to use the Checklist when completing the application. When you sign and date the forms within the Hardship Assistance Application, you will make important certifications, representations and agreements, including certifying that all of the information is accurate and truthful. 1 Borrower Information Loan Account Number: Borrower Co-Borrower Borrower s Name: Co-Borrower s Name: Social Security Number: _ - - Social Security Number: _ - - of Birth: / / of Birth: / / MM DD YYYY MM YYYY Home Phone: ( _ ) _ - Cell or Work Phone: ( _ ) _ - Email: Email: Co-Borrower Co-Borrower Co-Borrower s Name: Co-Borrower s Name: Social Security Number: _ - - Social Security Number: _ - - of Birth: / / 1 DD Home Phone: ( _ ) _ - Cell or Work Phone: ( _ ) _ - MM DD of Birth: / / YYYY MM Home Phone: ( _ ) _ - DD YYYY Home Phone: ( _ ) _ - Cell or Work Phone: ( _ ) _ - Cell or Work Phone: ( _ ) _ - Email: Email: I want to: o Keep the Property o Sell the Property The property is my: o Primary Residence o Second Home/Seasonal Rental The property is: o Owner Occupied o Tenant Occupied o Year-Round Rental/Investment o Vacant o Other Number of People in Household: Mailing Address: Property Address (if same as mailing address, just write same ): CONTINUE ON NEXT PAGE > Return this to PNC PAGE 1 OF 18 October 2016 Borrower Information Please follow the directions carefully. Write your Loan Account Number on every page of documentation being sent to PNC If you have Power of Attorney Form 1D : Include a copy of the Power of Attorney documentation 2 2 3 PNC Customer Assistance T: 800-523-8654 F: 855-288-3974 Hardship Assistance Application Property Details Loan Account Number: 2A Sale Listing Is the property listed for sale? o Yes o No If you have additional properties for sale, please list these properties and the information below on a separate sheet of paper. If YES, please complete the following: For Sale by Owner? o Yes o No List : / / MM Agent s Name: DD YYYY Agent s Phone: ( _ ) _ - Include a copy of the Listing Agreement, if applicable If you wish to authorize us to release loan account information to your real estate agent, please review and sign below to allow third-party correspondence: 2 I/We hereby authorize my Lender, PNC, to release information and to discuss the terms of my mortgage. This includes, but is not limited to, the negotiation of the sale of my house by (list company name) and its employees, including but not limited to at phone ( _ ) _ - and email. This authorization shall remain in effect until revoked in writing. Borrower Signature Borrower Printed Name Co-Borrower Signature Co-Borrower Printed Name Co-Borrower Signature Co-Borrower Printed Name Co-Borrower Signature Co-Borrower Printed Name CONTINUE ON NEXT PAGE > Return this to PNC PAGE 4 OF 18 October 2016 Property Details Return the following documents with your application: If the property is listed for sale Form 2A : Include a copy of the Listing Agreement If you have additional properties for sale, please list these properties and the requested information on a separate sheet of paper If you wish to authorize your real estate agent on the account, be sure to sign and date the authorization If you have received an offer on the property Form 2B : Include a copy of the Sales Contract 203169_PNC_Hardship_Checklist_DM.indd 4
Include a copy of the Estimated HUD-1 (Settlement Statement) If you have condominium or homeowner association (HOA) fees Form 2C : Include a copy of the most recent HOA billing statement Does your mortgage payment include taxes and insurance? Form 2D : If NO, please include a copy of the most recent Declarations Page from your insurance policy If you have any additional mortgages on this property Form 2E : Include a copy of your mortgage statement on the 2nd Mortgage Include a copy of your mortgage statement on the 3rd Mortgage If you are currently renting the property to a tenant Form 2F : Include a copy of the signed lease agreement with the tenant 3 3 3 PNC Customer Assistance T: 800-523-8654 F: 855-288-3974 Hardship Assistance Application Hardship Details, Documentation and Written Explanation Loan Account Number: I (We) am/are requesting review of my current financial situation to determine whether I/we qualify for temporary or permanent mortgage relief options. Hardship Began: / / MM DD YYYY I am having difficulty making my monthly payment because of financial difficulties created by (check all that apply) and am submitting required documentation demonstrating my hardship. Please review the necessary documentation required below based on the financial hardship situation. 3A If Your Hardship Is: o Unemployment o Income reduction (in pay or hours) You Are Required to Provide: Proof of unemployment/verification of unemployment benefits OR A signed and dated written statement indicating that no unemployment benefits have been received Proof of Income Reduction, as shown in income information detailed in Section 4, Income Documentation. o Divorce or legally documented Separation of Borrower/Co-Borrower(s) Recorded divorce decree signed by the court OR Recorded separation agreement signed by the court if separation is legally documented by the court OR Recorded quit claim deed evidencing that the nonoccupying Borrower or Co-Borrower(s) has relinquished all rights to the property. The quit claim deed does not relinquish the transferring borrower from financial obligation. o Death of Borrower/Co-Borrower(s) Death certificate. If a death certificate is not available, we may be able to use the following: Obituary or newspaper article reporting the death AND Income documentation prior to the death compared to income documentation of the surviving Borrower(s) afterward Hardship Details Return the following documents with your application: CONTINUE ON NEXT PAGE > Return this to PNC PAGE 8 OF 18 October 2016 If you are unemployed Form 3A : Include proof of unemployment/verification of unemployment benefits OR A signed and dated written statement indicating that no unemployment benefits have been received If your income has been reduced Form 3A : Include proof of Income Reduction, as shown in income information detailed in Section 4, Income Documentation 203169_PNC_Hardship_Checklist_DM.indd 5
If divorced or legally documented Separation of Borrower/Co-Borrower(s) Form 3A : Include divorce decree/property distribution order signed by the court OR Separation agreement signed by the court if separation is legally documented by the court OR Recorded quit claim deed evidencing that the non-occupying Borrower or Co-Borrower(s) has relinquished all rights to the property. The quit claim deed does not release the transferring Borrower from financial obligation. If the Borrower/Co-Borrower(s) is/are deceased Form 3A : Include death certificate. If a death certificate is not available, we may be able to use the following: Include obituary or newspaper article reporting the death AND Income documentation prior to the death compared to income documentation of the surviving Borrower(s) afterward If there is a long-term or permanent disability or serious illness of Borrower/ Co-Borrower(s) or dependent family member Form 3A : Include doctor s certificate of illness or disability AND Medical bills OR Proof of monthly insurance benefits or government assistance (if applicable) 203169_PNC_Hardship_Checklist_DM.indd 6
If there was a disaster (natural or man-made) adversely impacting the property or Borrower s/co-borrower s(s ) place of employment Form 3A : Include insurance claim OR Federal Emergency Management Agency grant or Small Business Administration loan OR Proof of property or place of employment located in a federally declared disaster area (e.g., provide the property ZIP code or an official document of the business, such as letterhead or a paystub, showing the ZIP code of the affected location) If you have a distant employment transfer Form 3A : Include most recent paystub showing new location If you had a business failure Form 3A : Include business federal tax return from the previous year, including all schedules AND Personal federal tax return from the previous year, including all schedules AND Proof of business failure supported by one of the following Form 3A : Bankruptcy filing for the business OR Two most recent bank statements for the business account evidencing cessation of business activity include all pages (front and back), even blank pages OR Most recent signed and dated quarterly or year-to-date profit and loss statement Explanation of your hardship Form 3A : Include additional sheets as necessary 203169_PNC_Hardship_Checklist_DM.indd 7
4 PNC Customer Assistance T: 800-523-8654 F: 855-288-3974 Hardship Assistance Application 4 Income Documentation [Combined Income and Expenses of Borrower and Co-Borrower(s)] Loan Account Number: Monthly Household Income 4 Monthly Household Expenses/Debt Monthly Gross Wages First Mortgage Payment (Primary Residence) Overtime Household Assets Checking Account(s) Second Mortgage Payment (Primary Residence) Savings/Money Market Child Support/Alimony* Third Mortgage Payment (Primary Residence) CDs Non-taxable Social Security benefits/ssdi Mortgage Payments on other real estate owned and additional mortgages Stocks/Bonds Taxable Social Security benefits or other monthly income from annuities or retirement plans Homeowner s Insurance Escrowed? o YES Other Cash on Hand Tips, commissions, bonus and self-employed income Property Taxes Escrowed? o YES Estimated Real Estate Value of Primary Residence HOA/Condo Fees/Property Maintenance Estimated Real Estate Value of other properties (exclude primary residence) Credit Cards/Installment Loan(s) (total minimum payment per month) Pension Funds Rents Received Unemployment Income Food Stamps/Family Assistance Child Care 401(k) Gross Rents Received Alimony/Child Support Payments Annuities Other: Car/Lease Payments # Vehicles IRAs Total (Gross Income) Auto Expenses/Auto Insurance Keogh Plans Life Insurance premiums (not withheld from pay) Other: Health Insurance premiums (if not withheld from pay) Total Assets Medical (co-pays and monthly prescriptions) Food Water/Sewer/Trash Gas/Electric Telephone/Internet/Cable Cell Phone Other: Total Expenses/Debt * Alimony, child support or separate maintenance income need not be disclosed if you do not choose to have it considered for repaying your mortgage debt. CONTINUE ON NEXT PAGE > Return this to PNC PAGE 10 OF 18 October 2016 Income Documentation Return the following documents with your application: Employment Income for all customers Form 4A : Provide at least one full month s pay stub(s) showing year-to-date income AND Three most recent bank statements (checking and savings) include all pages (front and back), even blank pages AND Two most recent W2s If you are self-employed Form 4A : Provide personal federal tax returns completed and signed by each Borrower/ Co-Borrower include all schedules AND Two most recent years of your Business federal tax return, including K1, if applicable, completed and signed by Borrower or Co-Borrower include all schedules AND Either the most recent signed and dated quarterly or year-to-date Profit and Loss statement that reflects activity for the most recent twelve months OR Two most recent bank statements for the business account include all pages (front and back), even blank pages Source of Additional Household Income Tips, commission, bonus, housing allowance, overtime Form 4B : Include written description of the type of income and frequency of receipt of income, signed and dated 203169_PNC_Hardship_Checklist_DM.indd 8
AND Third-party documentation describing income (e.g., employment contracts, tip income documents) AND Two most recent bank statements include all pages (front and back), even blank pages Social Security, disability, death benefits, pension, public assistance or adoption assistance Form 4B : Include most current benefit statement or award letter from provider showing amount and frequency of benefits (e.g., exhibits, disability policy) AND Receipt of payment (e.g., three most recent bank statements include all pages [front and back], even blank pages or direct deposit advices) Alimony, child support or separation maintenance payments Form 4B : Notice: Alimony, child support or separation maintenance income need not be disclosed if you do not choose to have it considered for repaying your mortgage debt. Provide divorce decree, separation agreement or other written legal agreement filed with the court that states the amount of the payments and the period of time that you are entitled to receive them AND Copies of two most recent bank statements include all pages (front and back), even blank pages or direct deposit advices showing you received payment If you have rental property income that is not your primary residence Form 4C : Include most recent federal tax return with all schedules, including Schedule E OR Current lease agreement with at least three most recent bank statements showing deposit of rent checks include all pages (front and back), even blank pages If you have Investment Income Form 4D : Provide two most recent monthly or quarterly investment statements for any 401(k)s, mutual funds, stocks, bonds, CDs, IRAs, etc. If any of this income is being used as household income, please provide two most recent bank statements showing deposit amounts include all pages (front and back), even blank pages 203169_PNC_Hardship_Checklist_DM.indd 9
Information for Non-Borrower Contributing to Household Income Form 4E : Information below is only applicable to Non-Borrowers who are employed Provide two most recent months of the Borrower s bank statements showing the Non-Borrower s contribution being deposited regularly include all pages (front and back), even blank pages AND Signed and dated contribution letter from the Non-Borrower indicating amount contributed to the household AND Pay stubs from Non-Borrower showing at least 30 days of year-to-date earnings AND Signed and dated written statement from Non-Borrower, including the Non-Borrower s Social Security number, stating PNC Bank has authorization to pull his or her credit report If you have any additional income you would like us to consider Form 4F : Provide documents showing additional income you would like us to consider Other properties owned Form 4G : Include additional sheets if necessary 5 5 5 PNC Customer Assistance T: 800-523-8654 F: 855-288-3974 Hardship Assistance Application Borrower and Co-Borrower(s) Acknowledgement and Agreement Loan Account Number: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. I certify that all of the information in this Hardship Assistance Application is true, complete, and accurate and the hardship(s) identified above has contributed to submission of this request for mortgage relief. I understand and acknowledge that PNC, the owner or guarantor of my mortgage loan, or their respective agents may investigate the accuracy of my statements, may require me to provide additional supporting documentation, and that knowingly submitting false information may violate federal and other applicable law. I understand PNC will obtain a current credit report on all borrowers obligated on the Note. I understand that if I have intentionally defaulted on my existing mortgage, engaged in fraud or misinterpreted any fact(s) in connection with this request for mortgage relief or if I do not provide all required documentation, PNC may cancel any mortgage relief granted and may pursue foreclosure on my home and/or pursue any available legal remedies. I certify that my property has not received a condemnation notice. I certify that I am willing to provide all requested documents and to respond to all Servicer communications in a timely manner. I understand that time is of the essence. I understand that PNC will use the information to evaluate my eligibility for available relief options and foreclosure alternatives, but PNC is not obligated to offer me assistance based solely on the representations in this document or other documentation submitted in connection with my request. If I am eligible for a trial period plan, repayment plan, or forbearance plan, and I accept and agree to all terms of such plan, I also agree that the terms of this Acknowledgement and Agreement are incorporated into such plan by reference as if set forth in such plan in full. My first timely payment following PNC s determination and notification of my eligibility or prequalification for a trial period plan, repayment plan, or forbearance plan (when applicable) will serve as acceptance of the terms set forth in the notice sent to me that sets forth the terms and conditions of the trial period plan, repayment plan, or forbearance plan. I agree that when PNC accepts and posts a payment during the term of any repayment plan it will be without prejudice to, and will not be deemed a waiver of, the acceleration of my loan or foreclosure action and related activities and shall not constitute a cure of my default under my loan unless such payments are sufficient to completely cure my entire default under my loan. I agree that any prior waiver as to my payment of escrow items to PNC in connection with my loan has been revoked. If I qualify for and enter into a repayment plan, forbearance plan, and trial period plan, I agree to the establishment of an escrow account and the payment of escrow items if an escrow account never existed on my loan. I understand that PNC will collect and record personal information that I submit in this Hardship Assistance Application and during the evaluation process, including, but not limited to, my name, address, telephone number, Social Security number, credit score, income, payment history, and information about my account balances and activity. I understand and consent to PNC s disclosure of my personal information and the terms of any relief or foreclosure alternative that I receive to any investor, insurer, guarantor, or servicer that owns, insures, guarantees, or services my first lien or subordinate lien (if applicable) mortgage loan(s) or to any HUD-certified housing counselor, Making Home Affordable Program notice, plan or agreement to the U.S. Department of the Treasury and its agents, Fannie Mae and Freddie Mac in connection with their responsibilities under Making Home Affordable Program, companies that perform support services in conjunction with, any investor, insurer, guarantor, or servicer that owns, insures, guarantees, or services my Making Home Affordable Program first lien or subordinate lien (if applicable) mortgage loan(s) and to any HUD-certified housing counselor. If I am eligible for foreclosure prevention relief under the federal Making Home Affordable Program, I understand and consent to the disclosure of my personal information and the terms of any Making Home Affordable Agreement by PNC to (a) the U.S. Department of Treasury, (b) Fannie Mae and Freddie Mac in connection with their responsibilities under the Homeowner Affordability and Stability Plan, and (c) companies that perform support services in conjunction with Making Home Affordable. I consent to being contacted by PNC and its agents regarding this request for mortgage assistance via cellular/mobile numbers or VOIP or any number for which I may be charged to receive a call. This includes text messages and calls to my cellular/mobile /VOIP number including calls by our automated dialer and pre-recorded reminders. I may incur access fees from my service provider. Borrower Signature / / Social Security Number of Birth Co-Borrower Signature / / Social Security Number of Birth Co-Borrower Signature / / Social Security Number of Birth Co-Borrower Signature / / Social Security Number of Birth CONTINUE ON NEXT PAGE > Return this to PNC PAGE 14 OF 18 October 2016 Borrower and Co-Borrower(s) Acknowledgement and Agreement Please include Loan Number at the top of the form AND Have each Borrower and Co-Borrower sign and date (include Social Security number and date of birth) 203169_PNC_Hardship_Checklist_DM.indd 10
IRS Form 4506-T Follow the instructions provided in the Hardship Assistance Application Return the completed, signed and dated IRS Form 4506-T for each Borrower and Co-Borrower PNC Customer Assistance T: 800-523-8654 F: 855-288-3974 203169_PNC_Hardship_Checklist_DM.indd 11
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