BB&T Loss ion Form
2
# of Dependents # of Dependents HOW LONG? HOW LONG? $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Payment Balance Due $ $ Estimated Value $ $ # of Accounts $ $ $ # of Accounts $ $ $ # of Accounts $ $ $ # of Accounts $ $ $ # of Accounts $ $ $ # of Accounts $ $ $ # of Accounts $ $ $ # of Accounts $ $ $ $ $ $ Current Tenant? Yes No CH 7 CH 13 Filing Date: Submitted this ____________________________________ day of ______________________________, _________ By ___________________________________________________________________ Date: ________________ By ___________________________________________________________________ Date: ________________ Auto Loan(s) Monthly Income -Borrower EMAIL ADDRESS (if applicable): EMAIL ADDRESS (if applicable): Other Contact # ( ) Cell Relative Other Contact # ( ) Cell Relative HOME PHONE # ( ) WORK PHONE # ( ) Monthly Expenses Disability Income Rents Received EMPLOYMENT "I agree as follows: My lender may discuss, obtain and share information about my mortgage and personal financial situation with third parties such as purchasers, real estate brokers, insurers, financial institutions, creditors and credit bureaus. Discussions and negotiations of possible foreclosure alternative will not constitute a waiver of or defense to my lender's right to commence or continue any foreclosure or other collection action, and an alternative to foreclosure will provide only if an agreement has been approved in writing by my lender. The information herein is an accurate statement of my financial status." Financial Information Property Information Other Unemployment Income Child Support/Alimony Wages (Gross) Cars PROPERTY ADDRESS: BORROWER CO-BORROWER PROPERTY ADDRESS: SOCIAL SECURITY # DATE OF BIRTH MAILING ADDRESS: MAILING ADDRESS: SOCIAL SECURITY # DATE OF BIRTH Signature of Borrower Checking Account(s) Saving / Money Market Home Stocks / Bonds / CDs IRA / Keogh Accounts Provide verification 401K / ESPO Accounts Provide verification Other Real Estate Credit Cards / Installment Loan(s) BEFORE MAILING, PLEASE MAKE SURE YOU HAVE SIGNED AND DATED THE FORM AND HAVE ATTACHED THE NECESSARY SUPPORTING DOCUMENTATION AS REQUESTED. Wages (Gross) Other (SSC or Investment Income) Rents Received Disability Income Child Support/Alimony BB&T Mortgage Loss Mitigation Greenville, South Carolina Branch Banking and Trust Signature of Co-Borrower HOME PHONE # ( ) WORK PHONE # ( ) Health Insurance (not deducted from payroll) Medical (Explain) Child Care / Support / Alimony Food Expenses Water / Sewer / Utilities / Phone BORROWER FINANCIAL INFORMATION LOAN # ________________________________ BORROWER'S NAME CO-BORROWER'S NAME EMPLOYER-BORROWER EMPLOYER-CO-BORROWER Total Assets Total Type: Occupation Monthly Income - Co-Borrower Net Monthly Income Other Mortgages/Liens Attorney's Name: Attorney's Phone: Agent's Name: Agent's Phone: Unemployment Income Do you occupy the property? Yes No Is it a Rental? Yes No Monthly Rental Income? Other (SSC or Investment Income) Net Monthly Income Borrower Intention Sell Home? Remain in Home? Auto Expenses / Insurance Other (Explain) Wages (Net) Wages (Net) Occupation Have you filed Bankruptcy? Yes No Counseling Representative: Counseling Rep's Phone: Is the property listed for sale? Yes No If so, with whom? Have you contacted your credit counseling services for help? Yes No Do you pay Real Estate Taxes? (outside of mortgage payments) Yes No Are the taxes current? Yes No Are there other liens on the property? Yes No Revised 04/09
Transcript of BB&T Loss ion Form
# of Dependents # of Dependents
HOW LONG? HOW LONG?
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
Payment Balance Due
$ $ Estimated Value
$ $ # of Accounts $
$ $ # of Accounts $
$ $ # of Accounts $
$ $ # of Accounts $
$ $ # of Accounts $
$ $ # of Accounts $
$ $ # of Accounts $
$ $ # of Accounts $
$ $ $
$ $
Current Tenant?
Yes No
CH 7 CH 13Filing Date:
Submitted this ____________________________________ day of ______________________________, _________
By ___________________________________________________________________ Date: ________________
By ___________________________________________________________________ Date: ________________
Auto Loan(s)
Monthly Income -Borrower
EMAIL ADDRESS (if applicable): EMAIL ADDRESS (if applicable):
Other Contact # ( )
Cell Relative
Other Contact # ( )
Cell Relative
HOME PHONE # ( )
WORK PHONE # ( )
Monthly Expenses
Disability Income
Rents Received
EMPLOYMENT
"I agree as follows: My lender may discuss, obtain and share information about my mortgage and personal financial situation with third parties such as purchasers, real estate brokers, insurers, financial institutions, creditors and credit bureaus. Discussions and negotiations of possible foreclosure alternative will not constitute a waiver of or defense to my lender's right to commence or continue any foreclosure or other collection action, and an alternative to foreclosure will provide only if an agreement has been approved in writing by my lender. The information herein is an accurate statement of my financial status."
Financial Information
Property Information
Other
Unemployment Income
Child Support/Alimony
Wages (Gross)
Cars
PROPERTY ADDRESS:
BORROWER CO-BORROWER
PROPERTY ADDRESS:
SOCIAL SECURITY # DATE OF BIRTH
MAILING ADDRESS: MAILING ADDRESS:
SOCIAL SECURITY # DATE OF BIRTH
Signature of Borrower
Checking Account(s)
Saving / Money Market
Home
Stocks / Bonds / CDsIRA / Keogh Accounts Provide verification401K / ESPO Accounts Provide verification
Other Real Estate
Credit Cards / Installment Loan(s)
BEFORE MAILING, PLEASE MAKE SURE YOU HAVE SIGNED AND DATED THE FORM AND HAVE ATTACHED THE NECESSARY SUPPORTING
DOCUMENTATION AS REQUESTED.
Wages (Gross)
Other (SSC or Investment Income)
Rents Received
Disability Income
Child Support/Alimony
BB&T Mortgage Loss MitigationGreenville, South Carolina
Branch Banking and Trust
Signature of Co-Borrower
HOME PHONE # ( )
WORK PHONE # ( )
Health Insurance (not deducted from payroll)
Medical (Explain)
Child Care / Support / Alimony
Food Expenses
Water / Sewer / Utilities / Phone
BORROWER FINANCIAL INFORMATIONLOAN # ________________________________
BORROWER'S NAME CO-BORROWER'S NAME
EMPLOYER-BORROWER EMPLOYER-CO-BORROWER
Total
Assets
Total
Type:
Occupation
Monthly Income - Co-Borrower
Net Monthly Income
Other Mortgages/Liens
Attorney's Name:
Attorney's Phone:
Agent's Name:
Agent's Phone:
Unemployment Income
Do you occupy the property?
Yes No
Is it a Rental? Yes No
Monthly Rental Income?
Other (SSC or Investment Income)
Net Monthly Income
Borrower Intention
Sell Home? Remain in Home?
Auto Expenses / Insurance
Other (Explain)
Wages (Net) Wages (Net)
Occupation
Have you filed Bankruptcy?
Yes No
Counseling Representative:
Counseling Rep's Phone:
Is the property listed for sale? Yes No
If so, with whom?Have you contacted your credit counseling services for help?
Yes NoDo you pay Real Estate Taxes? (outside of mortgage payments)
Yes No
Are the taxes current?
Yes No
Are there other liens on the property?
Yes No
Revised 04/09
Letter of Hardship _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Loan Number: ______________________________ Date: ____________________________________ Borrower: __________________________________ Signature: ________________________________ Co Borrower: ______________________________ Signature: ________________________________
