Foreclosure Intervention Enrollment Packet …...2016/06/21 · Page%|2" "...

Page | 1 Last Modified 12/02/2014

FORECLOSURE INTERVENTION COUNSELING

ENROLLMENT PACKET

Include COPIES of the following documents along with original forms included with this packet:

q Photo ID for all borrowers listed on the mortgage q Proof of income (include all that apply to you & that you declare as income on your Budget page):

q Two most recent months of pay stubs (MUST show employer name, address, phone AND must be consecutive)

q Award Letter : (SSI, SSDI, unemployment, retirement, etc.) q If self-‐employed, the most recent quarterly or year-‐to-‐date profit and loss statement q Rental income: Lease agreement & *verification of receipt q Child support or alimony: Divorce decree or award & *proof of receipt

q Last two years signed federal tax returns q Any one of your most recent utility bills q Current Credit report with score. You may obtain this from www.annualcreditreport.com q Hardship letter: A one page factual statement written by you describing your hardship and your

desired outcome. For your guidance, we have included a one-‐page guide here. q Bank Statements-‐ALL PAGES of the last two consecutive months for all accounts (four months if

self-‐employed) *These bank statement may serve as verification for income if they show deposits of the income

q Mortgage information: q Most recent monthly mortgage statement q Latest correspondence from servicer q Promissory Note & Trust Deed (OFA participants do NOT have to submit these) q Most recent property tax statement q Most recent homeowner’s insurance declaration page

q Modification application (if you have already applied or applied in the past) q Bankruptcy documents: Discharge agreement showing date of discharge and details

Please Note: All supporting documentation requested must be single sided copies when provided. WE DO NOT

ACCEPT ORIGINALS. If you supply originals, you do so with the understanding that WE WILL NOT be responsible for lost or damaged documents. In addition, WE WILL NOT ACCEPT original documentation that is supplied in individual/original un-‐opened envelopes.

If you have any questions, please contact Community in Action

It is the policy of Community in Action to affirmatively implement programs to ensure equal opportunity housing for all persons, regardless of race, color, religion, gender, sexual orientation, handicap, familial status or national origin.

For office use ONLY: Intake Date: Client#:

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Community in Action Basic Information

Borrower Co-‐Borrower Name Name

Social Security Number Date of Birth Social Security Number

Date of Birth

Home Phone Work Phone Home Phone Work Phone

Cell Phone Cell Phone

Email Address Email Address Property Address (Street-‐City-‐State-‐Zip)

RELATIONSHIP TO APPLICANT � Spouse � Daughter � Sister � Son � Brother � Other________________

Mailing Address (if different from property address)

Do you live in the house? ¨ Yes ¨ No Do you live in the house? Ÿes ¨ No Name of Employer Name of Employer

City/State/Zip City/State/Zip

Position/Title Position/Title

Is the position a Farmworker job? Ÿes ¨ No Is the position a Farmworker job? Ÿes ¨ No

Hire date: How many months have you held this job?

Hire date: How many months have you held this job?

RACE (Check all that apply) RACE (Check all that apply)

¨ White ¨Hispanic/Latino Äfrican American & White Ämerican Indian/Alaskan Native ¨ Asian Äfrican American or Black ¨ American Indian/Alaskan & White Äsian & White ¨Multiple race ¨ Native Hawaiian/Pacific Islander ¨ Other

¨ White ¨Hispanic/Latino Äfrican American & White Ämerican Indian/Alaskan Native ¨ Asian Äfrican American or Black ¨ American Indian/Alaskan & White Äsian & White ¨Multiple race ¨ Native Hawaiian/Pacific Islander ¨ Other

ETHNICITY ¨Hispanic ¨Not Hispanic ¨Choose not to respond

ETHNICITY ¨Hispanic ¨Not Hispanic ¨Choose not to respond

Are you a Colonias resident? Ÿes ¨ No ¨ Don’t know Are you a Veteran? Ÿes ¨ No Are you disabled? Ÿes ¨ No Were you born in a foreign country? Ÿes ¨ No

Are you a Colonias resident? Ÿes ¨ No ¨ Don’t know Are you a Veteran? Ÿes ¨ No Are you disabled? Ÿes ¨ No Were you born in a foreign country? Ÿes ¨ No

EDUCATION EDUCATION � Less than High School Completion �High School Diploma/GED � 1-‐2 yr. College � Bachelor’s Degree � Master’s Degree � More than Master’s Degree

� Less than High School Completion �High School Diploma/GED � 1-‐2 yr. College � Bachelor’s Degree � Master’s Degree � More than Master’s Degree

LANGUAGE LANGUAGE What is your primary language? Ënglish ¨ Spanish ¨ Other If “Other”, what language? ____________________ If NOT English, do you consider yourself proficient at communicating in English? Ÿes ¨ No

What is your primary language? Ënglish ¨ Spanish ¨ Other If “Other”, what language? ____________________ If NOT English, do you consider yourself proficient at communicating in English? Ÿes ¨ No

HOUSEHOLD TYPE/MARITAL STATUS � Single � Married with children � Female single parent family � Male single parent family � Married with no children � Two or more unrelated adults


1. What hardship caused you to need help with your mortgage?

2. Is this hardship: ¨ Short term (less than 6 months) ¨ Long term (greater than 6 months) ¨ Permanent

3. What is your desired outcome for your home: ¨ Sell ¨ Keep ¨ Unsure

4. Have you received either a: ¨ Notice of Sale ¨ Judicial Summons and Complaint? When?

5. Are you participating in the Foreclosure Avoidance Mediation Program? ¨ Yes ¨ No Mediation Date:

6. Have you ever applied for a loan modification or forbearance on this loan? ¨ Yes ¨ No

If yes, when (MO/YEAR)?____________________ Was it approved? ¨ Yes ¨ No ¨ Still Pending

7. Is your home listed with a realtor? ¨ Yes ¨ No

8. Have any of the borrowers filed bankruptcy at any time since obtaining the loan(s) on this property? Ÿes ¨No

If yes, when (MO/YEAR)?

9. Are you in active bankruptcy? Ÿes ¨No

10. Current market value of your home (if known): Source of value:

Do you have any funds set aside to put toward a repayment plan? ____________________If yes, how much? ________________

11. Describe general condition of your home/property:

12. Number of people claimed as dependents on your federal tax return: Total in household:

13. Did you contact, or were you contacted by a company offering to modify your loan for a fee prior to contacting Community in Action?

¨ Yes ¨ No If yes, who? Did you pay for their services? ¨ Yes ¨ No

14. Have you entered into a contract with a debt consolidation company any time since obtaining this loan? Ÿes ¨No

If yes, who? __________________________________________________ Did you enter into a contract with them? Ÿes ¨No

15. Housing Preservation Information

Name of Lender for FIRST MORTGAGE:_______________________________________________________________________

Loan Number:_____________________________ Interest Rate: _________ Monthly Payment: ________________

Name of 2nd Lender: ____________________________________________________________________________________


Name of 3rd Lender:_____________________________________________________________________________________



16. Loan Information for FIRST MORTGAGE:

Are property taxes & homeowner’s insurance included in your monthly payment? Ÿes ¨No

Is the loan: ¨VA ¨FHA ¨ A private party contract

What type of loan do you currently have? □ 3 Yr Arm □ 5 yr Arm □ 7 Yr Arm □ 30 Yr Fixed □ 40 Yr fixed

□ Hybrid □ Interest Only □ Pay Option Arm □ Other________________________________________________

If your interest rate reset, what was your starting rate:__________________________________________ □ N/A

If your payment changed, what was it before it changed?________________ □ N/A When did it change? (MM/YYYY) ___________

How much do you still owe on your loan? __________________________________________________________

How many more months do you have to pay on your loan?____________________________________________

What is the status of your loan? □ Current □ 30-‐60 days late □ 61-‐90 days late □ 120+ days late

How much are you behind in payments (including taxes and insurance if part of your payment)?______________

When was the last payment you sent that bank accepted? (MM/YYYY) _______________

Have you been actively working with a contact person from you lender? Ÿes ¨No

If yes, please provide that person’s name and contact information: ___________________________________________________

Primary reason for default: □ Reduction in income □ Poor budget management skills □ Loss of income □ Medical Issues

□ Death □ Increase in expenses □ Divorce or separation □ Increase in loan payment □ Business venture failed

17. Do you feel you were: 1) a victim of predatory lending? Ÿes ¨No

2) a victim of housing discrimination? Ÿes ¨No

18. Were you a first time homebuyer when you purchased this home? Ÿes ¨No When did you purchase this home? _______

19 Did you take a Homebuyer Education Course prior to purchasing this home?

¨ Yes (Location: Date: ) ¨No

20. How did you hear about Community in Action? ____________________________________________

If you were referred to us, please tell us the source or person: ___________________________________

21. Would you be willing to discuss your experience with others if your outcome is successful? Ÿes ¨No ¨Maybe

I understand the information I have provided in this application will be kept confidential. I certify that all the statements made on this application are true to the best of my knowledge. I understand that any misrepresentation, false or misleading statement may result in immediate termination of services with Community in Action.

Applicant: Printed Name Signature Date

Co-‐Applicant: Printed Name Signature Date


AUTHORIZATION AND CONSENT TO OBTAIN CREDIT REPORT FOR

FINANCIAL ANALYSIS AND PROGRAM EVALUATION

I authorize Community in Action to: 1. Pull my credit report (a soft inquiry which will not affect my credit score negatively):

• Within 30 days of coming to Community in Action • Within 30 days of exiting Community in Action • Up to three times within five years of my exit from Community in Action

2. Use my credit scores at entry and exit from Community in Action for program evaluation purposes. 3. Keep my credit information confidential, as described in the Privacy Policy.

Fair Credit Reporting Act Notice – By signing below, I understand, authorize, and approve the request of my credit report. I understand that Community in Action intends to use the credit score for purposes of financial analysis and program evaluation, and this information will not affect my eligibility for participation in any Community in Action program. I understand that my consent is voluntary. If I do not give consent, Community in Action cannot obtain the report. I understand that I can withdraw my consent at any time. This notice is given to me pursuant to the Fair Credit Reporting Act.


Co-‐Applicant: Printed Name Signature Date

Community in Action offers a variety of homeownership and financial literacy services to help families build and protect assets and prepare for financial success. We have found that it can be beneficial to our clients if we can share information with other relevant agencies such as lenders,

creditors and other social service agencies. Read the following Release of Information disclaimer carefully and, if you wish, please sign.

RELEASE OF INFORMATION

I hereby agree to allow Community in Action to share any information, including financial and credit data relevant to my work with Community in Action or required for related programs, with relevant agencies, organizations, mortgage lenders, financial institutions or educational institutions. Furthermore, I agree to allow other creditors, agencies, organizations, financial institutions or mortgage lenders to share information with Community in Action.


Co-‐Applicant: Printed Name Signature Date It is the policy of Community in Action to affirmatively implement programs to ensure equal opportunity in housing for all persons

regardless of race, color, religion, gender, sexual orientation, handicap, familial status or national origin.

915 S.W. 3rd Ave. Ontario, OR 97914 (541) 889-‐9555


AUTHORIZATION & PRIVACY POLICY

Community in Action is committed to assuring the privacy of individuals and/or families who have contacted us for assistance. We realize that the concerns you bring to us are highly personal in nature. We assure you that all the information shared both orally and in writing will be managed within legal and ethical considerations. Your “nonpublic personal information,” such as your total debt information, income, living expenses and personal information concerning your financial circumstances, will be provided to creditors, program monitors, and others only with your authorization and signature. We may also use anonymous aggregated case file information for the purpose of evaluating our services, gathering valuable research information and designing future programs. Community in Action has a grievance policy and you can request a copy of it at any time from our agency or you can download it from our website. TYPES OF INFORMATION THAT WE GATHER ABOUT YOU 1. Information we receive from you orally, on application or other forms, such as your name, address, social security number, assets, and income. 2. Information about your transactions with us, your creditors, or others, such as your account balance, payment history, parties to transactions and credit card usage; and 3. Information we receive from a credit reporting agency, such as your credit history. YOU MAY OPT-‐OUT OF CERTAIN DISCLOSURES 1. You have the opportunity to “opt-‐out” of disclosures of your nonpublic personal information to third parties (such as your creditors), that direct us not to make those disclosures. 2. If you choose to “opt-‐out”, we will not be able to answer questions from your creditors. If at any time, you wish to change your decision with regard to your “opt-‐out”, you may call us at 541-‐889-‐9555 ext. 102 and do so. RELEASE OF YOUR INFORMATION TO THIRD PARTIES 1. So long as you have not opted out, we may disclose some or all of the information that we collect, as described above, to your creditors or third parties where we have determined that it would be helpful to you, would aid us in counseling you, or is a requirement of grant awards which make our services possible. 2. We may also disclose any nonpublic personal information about you or former customers to anyone as permitted by law (e.g., if we are compelled by legal process) 3. Within the organization, we restrict access to nonpublic personal information about you to those employees who need to know that information to provide services to you. We maintain physical, electronic and procedural safeguards that comply with federal regulations to guard your nonpublic personal information. I acknowledge that I received a copy of Community in Action’s Privacy Policy. 1. I may be referred to other housing services of the organization or another agency or agencies as appropriate that may be able to assist with particular concerns that have been identified. I understand that I am not obligated to use any of the services offered to me. 2. A counselor may answer questions and provide information, but not give legal advice. If I want legal advice, I will be referred for appropriate assistance.



3. I understand that Community in Action provides counseling and education on loss mitigation, credit/budget management, individual development accounts, loan products, homebuyer education/counseling, post-‐purchase and financial fitness classes. Community in Action currently does not have any financial relationships with industry partners. I further understand that the housing counseling I received from Community in Action in no way obligates me to choose any of these particular housing programs. I authorize Community in Action Housing Center to: Obtain a copy of the FINAL HUD-‐1 Settlement Statement, Appraisal, and Real Estate Note(s) when I purchase a home, from the lender who made me/us a loan or the title company that closes the loan. I/We understand that any intentional or negligent representation(s) of the information contained on this form may result in civil liability and/or criminal liability under the provision of Title 18, United States Code, Section 1001.

Applicant/Borrower: Printed Name Signature Date

Co-‐Applicant/Co-‐Borrower: Printed Name Signature Date


MONTHLY BUDGET From (mm/dd): To (mm/dd): Household Size: .

Please fill out ALL WHITE SPACES, and add up every Subtotal/Total.

Gross Net Gross Net Wage: ( ) Wage: ( ) Child Support Unemployment

WIC

SSI/SSDI

SNAP Total Income

Housing Estimated Budget

Actual Goal Budget

Misc. Estimated Budget

Actual Goal Budget

1st Mortgage Child Exp. 2nd Mortgage School Exp. Taxes/Ins/HOA Medical/Dental

Rent Pet Care Cable Entertainment

Internet

Phone Subtotal

Electricity/ Water

Savings Contribution

Estimated Budget Actual Goal Budget

Gas Retirement Trash College

Savings

Subtotal Subtotal

Transport. Estimated Budget

Actual Goal Budget Loan Payment

Estimated Budget

Actual Goal Budget

Fuel Credit Card Maintenance Credit Card

Bus Credit Card Vehicle

Subtotal Student Loan

Insurance Estimated Budget Actual Goal Budget Liens / Judgments

Car

Health Subtotal

Life Other

Payment Estimated Budget Actual Goal Budget

Renter's Child Support Alimony

Subtotal Medical Debt

Shopping Estimated Budget Actual Goal Budget

Groceries Subtotal

Dining Out Total Expenses

Clothing Household /

Cleaning Applicant Signature:

Co-‐Applicant Signature:

Subtotal Date:


ASSETS AND LIABILITIES Do you own the following and what is the value?

Assets Total

What is the amount you owe?

Liabilities Total

Minimum Monthly Payment

Vehicle 1: Vehicle 2: Vehicle 3: $ Vehicle 1: Vehicle 2: Vehicle 3: $ $

Home 1: Home 2: Home 3: $ Mortgage 1: Mortgage 2: Mortgage 3: $ $

Cash: $ Unpaid Income/Property Taxes: $ $

CDs: $ Child Support: $ $

Saving Accounts: $ Credit Cards: $ $

Checking Account: $ Store Credit: $ $

Business Bank Accounts: $ Personal Lines of Credit: $ $

Business Assets/Inventory: $ Medical Debt: $ $

Retirement 401K/IRA: $ Personal Debt (to family/friends): $ $

Stocks/Bonds (not retirement): $ Business Debt: $ $

Other Investments: $ Student Loans: $ $

Per Capita Trust: $ Collections: $ $

Trust Fund: $ Other Debt: $ $

Other Assets: $ Other Debt: $ $

Total Assets: $ Total Liabilities: $ $

Net Worth (Assets – Liabilities) $


To (Lender Name and Address):

ATTN: LOSS MITIGATION

RE: Account Number: Last Four digits of your SS#:

Borrower(s):

Property Address:

AUTHORIZATION TO RELEASE INFORMATION Dear Sir or Madam: I am working with Community in Action, a housing counseling agency in Oregon, on a plan to resolve my mortgage delinquency. I hereby authorize you to release any and all information concerning my account to Community in Action at their request. This authorization to Community in Action is further extended to share or retrieve related information with third parties and may be used in conjunction with my request and material information submitted to the above lender in reference to the same account. I further authorize you to discuss the above loan(s) with Community in Action or its assignees. They are working to help me address my financial problems and to propose a loss mitigation plan which is within your guidelines.

Borrower: Printed Name Signature Date

Co-‐Borrower: Printed Name Signature Date Thank you for taking the time to update this client’s file to reflect Community in Action authorization.

Foreclosure Intervention Counselors’ Names:

Wendi Lawson Intake

541-‐889-‐9555 ext. 106 [email protected]

Kathleen Markee Counselor

541-‐889-‐9555 ext.102 [email protected]

Maribel Ramirez Counselor

541-‐889-‐9555 ext. 127 [email protected]



Client/Counselor Agreement

Community in Action and its counselors agree to provide the following services:

• Development of a spending plan • Analysis of the mortgage default, including the amount and cause of default • Presentation and explanation of reasonable options available to the homeowner • Assistance communicating with the mortgage servicer • Timely completion of promised action • Explanation of collection and foreclosure process • Identification of assistance resources • Referrals to needed resources • Confidentiality, honesty, respect and professionalism in all services

I/We understand that Community in Action provides foreclosure mitigation counseling after which I will receive a written action plan consisting of recommendations from handling my finances, possibly including referrals to other housing agencies as appropriate. I/We understand that Community in Action receives congressional funds through the National Foreclosure Mitigation counseling (NFMC) program and, as such is required to share some of my personal information with NFMC program administrators or their agents for purposes of program monitoring, compliance and evaluations. I/We give permission for NFMC program administrators and/or their agents to follow-‐up with me within the next three years for the purposes of program evaluation. I/We acknowledge that I have received a copy of Community in Action’s Privacy Policy. I/We will always provide honest and complete information to my/our counselor, whether verbally or in writing. I/We will provide all necessary documentation and follow-‐up information within the time frame requested. I/We will be on time for appointments and understand that if we are late for an appointment, the appointment will still end at the scheduled time. I/We will call within 6 hours of a scheduled appointment if I/we will be unable to attend an appointment. I/We will contact the counselor about any changes in our situation immediately. I/We understand that breaking this agreement may cause the counseling organization to sever its service assistance to me/us.

Applicant/Borrower: Printed Name Signature Date Co-‐Applicant/Co-‐Borrower: Printed Name Signature Date



Hold Harmless Agreement

The undersigned parties (borrowers) agree to seek independent Counsel pertaining to the sale of their home, land, real property in matter of state and federal taxes and legal implications. The undersigned borrower(s) shall contact an attorney to obtain qualified counsel relating to the implications of foreclosure.

Property Address: _______________________________________________________________

City: _______________________________________ State: __________ Zip: ________________

The undersigned agree that there have been no guarantees or promises of foreclosure avoidance or approval of any loss mitigation option made to them by the counselor or Community in Action. It has been explained to them, and they agree to as much below, that a counselor can make no warranties implied or otherwise as to the servicer/investor approval of a modification, sale, forbearance, deed-‐in-‐lieu, repayment plan, refinance, or any other loss mitigation alternative. Any information that the counselor has presented to the client is to assist the client in making an informed decision in the loss mitigation process but in no way should preclude the client from seeking professional legal as well as tax advice, it is expressly suggested that the client do both.

IN SIGNING THIS RELEASE, I/We ACKNOWLEGE AND REPRESENT THAT I/WE have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it and sign if voluntarily as my/our own free act and deed; no oral representations, statements or inducement, apart from the foregoing written agreement, have been made;

I/We am at least eighteen (18) years of age, and fully competent; and I/We execute the Release for full, adequate and complete consideration fully intending to be bound by the same.

Applicant/Borrower: Printed Name Signature Date

Co-‐Applicant/Co-‐Borrower: Printed Name Signature Date



The following information is requested by the federal government in accordance with the Dodd-Frank Wall Street Reform and Consumer Protection Act (Pub. L. 111-203). You are required to furnish this information. The law provides that no person shall be eligible to begin receiving assistance from the Making Home Affordable Program, authorized under the Emergency Economic Stabilization Act of 2008 (12 U.S.C. 5201 et seq.), or any other mortgage assistance program authorized or funded by that Act, if such person, in connection with a mortgage or real estate transaction, has been convicted, within the last 10 years, of any one of the following: (A) felony larceny, theft, fraud, or forgery, (B) money laundering or (C) tax evasion. I/we certify under penalty of perjury that I/we have not been convicted within the last 10 years of any one of the following in connection with a mortgage or real estate transaction:

(a) felony larceny, theft, fraud, or forgery, (b) money laundering or (c) tax evasion.

I/we understand that the servicer, the U.S. Department of the Treasury, or their agents may investigate the accuracy of my statements by performing routine background checks, including automated searches of federal, state and county databases, to confirm that I/we have not been convicted of such crimes. I/we also understand that knowingly submitting false information may violate Federal law. This Certificate is effective on the earlier of the date listed below or the date received by your servicer. ______________________________________ ____________________ Borrower Signature Date ______________________________________ ____________________ Co-Borrower Signature Date


Hardship Letter Sample

Tips: Regardless of the specific situation, there are a few important guidelines, a basic hardship letter template that you should follow if you want to draft a well written hardship letter: Keep your letter short and to the point, two to three paragraphs. A hardship letter that is too long will tend to lose the reader. No longer than a page. Be respectful and thank the lender in advance for considering your situation. As angry as you may be do not blame anyone, especially the lender. Include the names and signatures of all those on the mortgage.

[Homeowner Name(s)] [Address]

[Telephone Number(s)]

Loan Number: [#] Number of Months Late: [#]

Property Value: [$] Date: Attn: [Servicer] Goal: In the first paragraph of your hardship letter, state exactly what you are requesting. This may be a modified loan payment or a short sale. Reason for Default: Early in your hardship letter, summarize the specific situation that has prompted you to write the letter. The goal is to personalize the situation while sticking to the facts. Avoid assigning blame to any party. Actions Taken: Identify ways that you are trying to resolve your hardship, either by reducing expenses or increasing income (e.g. renting a room, looking for a job, creating a crisis budget). Has the Hardship been Resolved? If so, describe how. If not, explain how you expect it will be resolved, and when. If you have money that you can use as a good faith payment toward the delinquency, mention that in the letter. Sincerely, Borrower Signature Co-‐Borrower Signature

Borrower Printed Name Co-‐Borrower Printed Name

EXAMPLE ONLY Create your own letter using this guidance

Do NOT sign & submit this form.

Foreclosure Intervention Enrollment Packet …...2016/06/21 · Page%|2" "...

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