Short Sale or Pre-Foreclosure Sale Application -...

© IndyMac Mortgage Services a division of OneWest Bank, FSB. Registered trade/service marks are the property of OneWest Bank, FSB and/or its subsidiaries.

Questions? Loss Mitigation Department 1.877.736.5556

For Borrowers

Is a Short Sale right for you? Check to see if all three

of the following scenarios apply to you:

• Youarenolongerabletomakemortgage

paymentsorhavealreadymissedapayment

duetofinancialhardship.

• Youwanttosellyourhometoavoidforeclosure.

• Thevalueofyourhomeislessthanwhatyou

oweonyourmortgage.

IfyouhavequestionsabouthowaShortSaleor

Pre-ForeclosureSalewillaffectyourcreditscore,tax

situationorotherlegalsituation,pleaseconsultwith

yourbroker,realtor,oranattorney.

For Brokers

Ifyourcustomer(s)is/arenolongerabletomake

mortgagepaymentsandtheproperty’smarketvalue

islowerthantheamountowedontheloan,youmay

considerhelpingthemapplyforaShortSaleorPre-

ForeclosureSalewiththisapplication.

Toapplyonbehalfofyourcustomer,makesureto

completetheThirdPartyAuthorizationformincluded

inthispacketforyourselfandanyotherthirdpartywho

willactonbehalfofyourcustomer.(Thirdpartiesmay

includebrokers,realtors,attorneys,etc.)

Forinformationabouttaxorlegalimplicationsforyour

customeriftheypursueaShortSaleorPre-Foreclosure

Sale,pleaseconsultwithanattorney.

Short Sale or Pre-Foreclosure Sale ApplicationSubmit your completed request for assistance today.

Submitting your request for workout review does not stop the foreclosure process. All normal servicing

including collections and/or foreclosure (if applicable) will continue unless you are otherwise notified in writing

by IndyMac Mortgage Services.

Upon receipt of this completed application and an executed purchase contract, a Workout Negotiator will be

assigned to review the loan. IndyMac Mortgage Services will need to determine the fair market value of the

property by arranging for an interior BPO (broker price opinion), and the borrower(s) or authorized third parties

will be contacted to schedule the property inspection within 10 days.

For IndyMac Mortgage Services to consider a request for a Short Sale or

Pre-Foreclosure Sale, ALL of the following items are required for review:

Page 3 • ThirdPartyAuthorizationform(oneperthirdpartyrepresenting

theborrower)

Pages 4-5 • PersonalInformation(andpage5ifco-borrowerisontheloan)

Pages 6-9 • FinancialandPropertyInformation

• Proofofallsourcesofmonthlyhouseholdincome,suchaspaystubs

forthepast60days(ifasalariedorhourlywageearner)orprofitand

lossstatementsforthelasttwoquartersalongwiththemostrecent

signedfederaltaxreturn.Leases,socialsecurity,pension,disabilityand

bankstatementsarerequired,ifapplicable.

Pages 10-12 • HardshipAffidavit

Pages 13-14 • PurchaserEligibilityCertification

Page 15 • ProspectivePurchaserInformation

• Documentationshowingthecompletelistinghistoryforthisproperty.

• Asalescontractsignedbybothbuyerandseller,subjecttoIndyMac/

lenderapproval.

• Anestimatedsettlementstatementshowingallproposedseller-paid

closingcosts.

• Proofofbuyer’sfinancing(e.g.pre-qualificationletter)

• Anyotherdocumentationorinformationyoufeelmayberelevantto

the situation.

ItemsRequiredforReviewUse this chart to help you keep track of your request.

Getting Started page | 2

Please note: The Short

Sale package, including

an Executed Purchase

Contract, must be

submitted at least 15 days

prior to the scheduled

Foreclosure sale date. The

Short Sale decision process

generally takes 30 days

or less from the time we

receive the complete short

sale package assuming

there are no delays in

gaining approvals from

the Investor, Mortgage

Insurance Company, Jr.

Lien holder, etc.

Once ALL of the required items are complete, please write the borrower (and co-borrower’s, if applicable) name

and loan number on every document, and submit this entire application as soon as possible with all required

documents via fax to: 1.626.583.1370.

IndyMacMortgageServiceswillfollowstandardindustrypracticeandreporttothemajorcreditreportingagenciesthatyourmortgagewassettledforlessthanthefullbalanceowed.Wehavenocontroloverorresponsibilityfortheimpactofthisreportonyourcreditscore.

Ashortpayoffofthemortgagemayhavetaxconsequences.Youareadvisedtocontactataxprofessionaltodeterminetheextentoftaxliability,ifany.

Thiscompanyisadebtcollectorandanyinformationobtainedwillbeusedforthatpurpose.However,ifyouhavefiledabankruptcypetitionandthereiseitheran“automaticstay”ineffectinyourbankruptcycase,oryourdebthasbeendischargedpursuanttothebankruptcylawsoftheUnitedStates,thiscommunicationisintendedsolelyforinformationalpurposes.

NOTE: If you would like IndyMac Mortgage Services to discuss your loan with a third party such as a spouse,

relative, friend, realtor, attorney, lender, etc. you MUST complete and return this form to us first. Please fill out

one form for each third party.

IherebyauthorizeIndyMacMortgageServicestodiscussmyrequestforpaymentassistancewiththeindividual(s)

thatIhaveidentifiedbelowasmydesignatedagent(s)(hereinafterthe“DesignatedAgent”).Further,IndyMac

MortgageServicesisherebyauthorizedtonegotiatethetermsofaworkoutagreementwithmyDesignated

AgentandtodeliverdocumentstomyDesignatedAgentwhichconcernsmyrequestforpaymentassistance.

IunderstandthatIwillbefullyresponsibleforreviewinganyinformationthatissentbyIndyMacMortgage

ServicestomyDesignatedAgent.ThisAuthorizationwillremaineffectiveuntilIspecificallynotifyIndyMac

MortgageServices’WorkoutDepartmentinwritingthatthisAuthorizationisofnofurtherforceandeffect.

My Designated Agent is:

First Name

LastName

Address

City,State,ZIP

E-mailAddress

Phone Number

IndyMacMortgageServicesLoanNumber

Relationship Realtor Spouse LossMitigationCompany Other

ThirdPartyAuthorizationPlease provide all information.

ThirdPartyAuthorization page | 3

Borrower

Signature

Date

Co-Borrower

Signature

Date


Personal Information: Borrower

First Name

LastName

SocialSecurityNumber

DateofBirth(mm/dd/yyyy) / /

DaytimePhoneNumber

EveningPhoneNumber

CellPhoneNumber

E-mailAddress

Address(whereyoulive)

City,State,ZIP

Employer

Position

EmploymentDates/ /

to / /

AnnualSalary $

PersonalInformationPlease provide all applicable information.

BorrowerFinancialStatement page | 4


Personal Information: Co-Borrower

First Name

LastName

SocialSecurityNumber

DateofBirth(mm/dd/yyyy) / /

DaytimePhoneNumber

EveningPhoneNumber

CellPhoneNumber

E-mailAddress

Address

City,State,ZIP

Employer

Position

EmploymentDates/ /

to / /

AnnualSalary $

PersonalInformation(continued)Please provide all applicable information.

page |5

(ifdifferentthanborrower)

BorrowerFinancialStatement


Description Estimated Value (A) Amount Owed (B) Net Value (A - B)

1.Cash $ $ $

2.AllChecking&SavingsAccounts $ $ $

3.CertificatesofDeposits(CDs) $ $ $

4.Stocks/Bonds/MutualFunds $ $ $

5.AllRetirementAssets(401(k)s,IRAs,etc.) $ $ $

6. Total Liquid Assets (add lines 1-6) $ $ $

7.PrimaryHome $ $ $

8.OtherRealEstate $ $ $

9.Automobile(s) $ $ $

Make Model Year $ $ $

Make Model Year $ $ $

10.CashValueofLifeInsurance $ $ $

11.PersonalProperty(computers/furniture,etc.) $ $ $

12.OtherAssets(limitedpartnerships,etc.) $ $ $

13. Total Non-Liquid Assets (add lines 7-12) $ $ $

14. Total Net Value (add lines 6 & 13) $ $ $

15. Other Debt Balances $ $ $(creditcards,notesdue,linesofcredit)*

*ExplaininDetail:

Haveyoueverfiledforbankruptcy? No Yes

TypeofBankruptcy(selecttype) Chapter7 Chapter13

FilingDate(mm/dd/yyyy) / /

Hasyourbankruptcybeendischarged? No Yes If yes, please provide a copy of the discharge paper.

AssetsandLiabilitiesPlease provide all applicable information.

page | 6BorrowerFinancialStatement


Property Description (If subject property is rented.)

Address

City,State,ZIP

Isthepropertyowneroccupied? No Yes

Isthepropertyasecondhome? No Yes

Isthepropertynonowneroccupiedoraninvestmentproperty? No Yes

Isthepropertyvacant? No Yes Ifyes,howlong? Years Months

Aretheiranyadditionalliens/mortgagesorjudgementsonthisproperty? No Yes

Tenant Name Monthly Rent Monthly Last Paid Date Lease Expires

$ $ / /

$ $ / /

$ $ / /

$ $ / /

Dependents

Name Relationship Date of Birth In Day Care

/ /

No Yes

/ /

No Yes

/ /

No Yes

/ /

No Yes

PropertyDescription&DependentsPlease provide all applicable information.

page | 7

(ofpropertyinvolvedinworkout)



MonthlyIncomePlease provide all applicable information.

page | 8

Description Borrower Co-Borrower Total

1.GrossSalaryWages $ $ $

2.OvertimeWages $ $ $

3.Commissions(howoftenpaid) $ $ $

4.Bonuses(whenpaid) $ $ $

5.SocialSecurity $ $ $

6.Disability(shorttermorlongterm) $ $ $

7.OtherIncome(interest,rental,etc.) $ $ $

8.Alimony* $ $ $

9.ChildSupport* $ $ $

10. Total Monthly Income (add lines 1-9) $ $ $

11.Less:Federal,FICA,andStateIncomeTax $ $ $

12.OtherDeductions(401(k),etc.) $ $ $

13. Total Deductions (add lines 11 & 12) $ $ $

14. Net Personal Income (line 10 minus line 13) $ $ $

*Notice:Alimony,childsupport,orseparatemaintenanceincomeneednotberevealediftheBorrowerorCo-Borrowerdoes

not choose to have it considered for repaying the mortgage.



MonthlyExpensesPlease provide all applicable information.

page | 9

Description Monthly Payment Balance Due # of Mos. Delinquent

1.PrimaryHomeMortgage(includingtaxes&insurance) $ $

2.Taxesonprimaryhome(ifnotincludedin#1) $ $

3.Insuranceonprimaryhome(ifnotincludedin#1) $ $

4.RentPayment(ifownerdoesnotoccupysubjectproperty) $ $

5.MaintenanceonPrimaryHome $ $

6.OtherMortgages $ $

7.AutomobileLoan(s) $ $

8.OtherLoans $ $

9.CreditCards(minimumpayment) $ $

10.Alimony $ $

11.ChildSupport $ $

12.ChildCare $ $

13.Utilities(water,electricity,gas,etc.) $ $

14.Telephone $ $

15.Insurance(automobile,health,life,etc.) $ $

16.Medicalexpenses(uninsured) $ $

17.Carexpenses(gas,maintenance,parking) $ $

18.GroceriesandToiletries $ $

19.DryCleaningandClothing $ $

20.SpendingMoney $ $

21.CableTV $ $

22.Entertainment(hobbies,dinner,movies,etc.) $ $

23.Vacations $ $

24.SchoolTuition $ $

25.HOAFees $ $

26.DependentCare $ $

27.OtherMonthlyExpenses* $ $

*Explain: $ $

28. Total Personal Expenses (add lines 1-27) $ $



I (We) am/are requesting IndyMac Mortgage Services to review my/our eligibility for a short sale to help prevent foreclosure. I

(We) am/are having difficulty making my/our monthly payment because of financial difficulties created by (check all that apply):

Myhouseholdincomehasbeenreduced.(Forexample:unemployment,underemployment,reducedpayorhours,

declineinbusinessearnings,death,disability,ordivorceofaborrowerorco-borrower.)

Mymonthlydebtpaymentsareexcessive,andIamoverextendedwithmycreditors.Debtincludescreditcards,home

equity, or other debt.

Myexpenseshaveincreased.(Forexample:monthlymortgagepaymentreset,highmedicalorhealthcarecosts,

uninsuredlosses,increasedutilities,orpropertytaxes.)

Mycashreserves,includingallliquidassets,areinsufficienttomaintainthepaymentonmymortgageloanandcover

basiclivingexpensesatthesametime.

Other(pleasespecify):

Required Explanation

Foranyapplicableitemsabove,pleaseprovideadetailedexplanationofthehardship(attachanotherpageifnecessary):

HardshipAffidavitPlease provide a detailed explanation of your hardship.

HardshipAffidavit page | 10


Thefollowinginformationisrequestedbythefederalgovernmentinordertomonitorcompliancewithfederalstatutesthatprohibit discrimination in housing. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender or servicer may not discriminate either on the basis of this information, or on whether you choose to furnish it.Ifyoufurnishtheinformation,pleaseprovidebothethnicityandrace.Forrace,youmaycheckmorethanonedesignation.Ifyoudonotfurnishethnicity,raceorsex,thelenderorservicerisrequiredtonotetheinformationonthebasisofvisualobservationorsurnameifyouhavemadethisrequestforaloanmodificationinperson.If you do not wish to furnish the

information, please check the box below.

Borrower

I do not wish to furnish this information.

Ethnicity

HispanicorLatino

NotHispanicorLatino

Race

AmericanIndianorAlaskanNative

Asian

BlackorAfricanAmerican

NativeHawaiianorotherPacificIslander

White

Sex

Female

Male

To be completed by interviewer.

Interviewer’sName

Thisapplicationwastakenby Face-to-faceinterview Telephone

Mail Internet

Interviewer’sSignature

Date

Interviewer’sPhoneNumber

NameofInterviewer’sEmployer

AddressofInterviewer’sEmployer

City,State,ZIP

Co-Borrower

I do not wish to furnish this information.

Ethnicity

HispanicorLatino

NotHispanicorLatino

Race

AmericanIndianorAlaskanNative

Asian

BlackorAfricanAmerican

NativeHawaiianorotherPacificIslander

White

Sex

Female

Male

HardshipAffidavit(continued)Information for government monitoring purposes.



In making this request for consideration for a loan modification or any other foreclosure prevention program, I certify under

penalty of perjury:

1.Alloftheinformationinthisdocumentistruthfulandtheevent(s)identifiedonpage10is/arethereason(s)thatIneedto

requestamodificationofthetermsofmymortgageloan,shortsaleordeed-in-lieuofforeclosure.

2.IunderstandthatIndyMacMortgageServices,theU.S.DepartmentoftheTreasuryoritsagentsmayinvestigatethe

accuracyofmystatements,mayrequiremetoprovidesupportingdocumentation,andthatknowinglysubmittingfalse

informationmayviolatefederallawandmayresultinforeclosure.

3.IunderstandthatifIhaveintentionallydefaultedonmyexistingmortgage,engagedinfraudormisrepresentedanyfact(s)

inconnectionwiththisdocument,thatIndyMacMortgageServicesmaycancelanymodificationofforeclosureprevention

agreementandmaypursueforeclosureonmyhome.

4.Iamwillingtoprovideallrequesteddocumentsandtorespondtoallquestionsinatimelymanner.

5.IunderstandthatIndyMacMortgageServiceswillusetheinformationinthisdocumenttoevaluatemyeligibilityforaloan

modification,shortsaleordeed-in-lieuofforeclosure,butthatIndyMacMortgageServicesisnotobligatedtoofferme

assistancebasedsolelyonthestatementsinthisdocument.

6.I/Weagreethatthefinancialinformationprovidedisanaccuratestatementofmy/ourfinancialstatus.I/Weunderstand

andacknowledgethatanyactiontakenbythelenderofmy/ourmortgageloanonmy/ourbehalfwillbemadeinstrict

relianceonthefinancialinformationprovided.I/Weauthorizeverificationorre-verificationofanyinformationcontainedin

thisfinancialpacketatanytimebythelender,itsagents,successorsandassigns,eitherdirectlyorthroughathirdparty,

includingbutnotlimitedtoacreditreportingagency,fromanysourcenamedinthisfinancialpacketorotherwisesubmitted

inconnectiontherewith.My/Oursignature(s)belowgrantsthelendertheauthoritytocontactmyrealtor,creditcounseling

servicerepresentative(ifapplicable),oranythirdpartywithrespecttomattersrepresentedinthisfinancialstatement.

Borrower

Signature

Date

Co-Borrower

Signature

Date

HardshipAffidavit(continued)Acknowledgement and Agreement



Pursuanttoaresidentialpurchaseagreement(“Agreement”),thepartiesidentifiedbelowas“Seller(s)”and“Buyer(s),”respectively,areinvolvedinarealestatetransactionwherebytherealpropertycommonlyknownas (“Property”)willbesoldbySeller(s)toBuyer(s).

(“Lender”)holdsadeedoftrustormortgageagainsttheProperty.InordertocompletethesaleoftheProperty,Seller(s)andBuyer(s)havejointlyaskedLendertodiscountthetotalamountowedontheloan,whichissecuredbythedeedoftrustormortgage.Lender,inconsiderationfortherepresentationsmadebelowbySeller(s),Buyer(s),andtheirrespectiveagents,agreestoashortsaleontheexpressconditionthatSeller(s),Buyers,andtheirrespectiveagents(including,withoutlimitation:realestateagents,escrowagents,andtitleagents)eachtruthfullyrepresents,affirms,andstatesasfollows:

1. ThepurchaseandsaletransactionreflectedintheAgreementisan“Arm’sLengthTransaction,”meaningthatthetransactionhasbeennegotiatedbyunrelatedparties,eachofwhomisactinginhisorherownself-interest,andthatthesalepriceisbasedonfairmarketvalueoftheProperty.WithrespecttothosepersonssigningthisAffidavitasanagentforeitherSeller(s),Buyer(s),orboth,thoseagentsareactinginthebestinterestsoftheirrespectiveprincipal(s).

2. NoBuyeroragentofBuyer(s)agentsisafamilymemberorbusinessassociateoftheSeller(s)ortheborrower(s)orthemortgagee(s).

3. NoBuyeroragentofBuyer(s)sharesabusinessinterestwiththeSeller(s)ortheborrower(s)orthemortgagee(s).

4. TherearenohiddentermsorhiddenagreementsorspecialunderstandingsbetweentheSeller(s)andtheBuyer(s)oramongtheirrespectiveagentswhicharenotreflectedintheAgreementortheescrowinstructionsassociatedwiththistransaction.

5. Thereisnoagreement,whetheroral,written,orimplied,betweentheSeller(s)andtheBuyersand/ortheirrespectiveagentswhichallowstheSeller(s)toremaininthepropertyastenantsortoregainownershipofthePropertyatanytimeaftertheconsummationofthissaletransaction.

6. TheSeller(s)shallnotreceiveanyproceedsfromthesaleofthePropertyreflectedintheAgreement.

7. NoagentofeithertheSeller(s)ortheBuyer(s)shallreceiveanyproceedsfromthistransactionexceptasisreflectedinthefinalestimatedclosingstatementwhichshallbeprovidedtoLenderforapprovalpriortothecloseofescrow.

8. EachsignatorytothisAffidavitexpresslyacknowledgesthatLenderisrelyingupontherepresentationsmadehereinasconsiderationfordiscountingthepayoffontheloan(s)whichis/aresecuredbyadeedoftrustormortgageencumbering the Property.

9. EachsignatorytothisAffidavitexpresslyacknowledgesthatanymisrepresentationmadebyhimorhermaysubjecthimorhertocivilliability.Ideclareunderpenaltyofperjuryunderthelawsofthestateof thatall

statementsmadeinthisAffidavitaretrueandcorrect.

10. Youcan’tlistthepropertywithorsellittoanyonethatyouarerelatedtoorhaveaclosepersonalorbusinessrelationshipwith.Inlegallanguage,itmustbean“arm’slengthtransaction.”Ifyouhavearealestatelicense,youcan’tearnacommissionbylistingyourownproperty.Youmaynothaveanyagreementstoreceiveaportionofthecommissionorthesalespriceafterclosing.Anybuyerofyourpropertymustagreetonotsellthehomewithin90calendardaysofthedateitissoldbyyou.Youmaynothaveanyexpectationthatyouwillbeabletobuyorrentyourhousebackaftertheclosing.Anyknowingviolationofthearm’slengthtransactionprohibitionmaybeaviolationoffederallaw.

PurchaserEligibilityCertificationPlease read, provide all information, and sign.

PurchaserEligibilityCertification page | 13


Additionally, I/We fully understand that it is a federal crime punishable by fine or imprisonment, or both, to knowingly and willfully make any false statements concerning any of the above facts as applicable under the provisions of Title 18, United States Code, Section 1001, et seq.

Seller 1

Date

Print Name

Seller 2

Date

Print Name

Seller’s Agent

Date

PrintName&Company

State of

Countyof

On

Before me,

personallyappeared ,whoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),and that by his/her/their signature(s) on the instrument the person(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.

IcertifyunderPENALTYOFPERJURYunderthelawsoftheState of that the foregoing paragraph is true and correct.

WITNESSmyhandandofficialseal.

Signature

Buyer 1

Date

Print Name

Buyer 2

Date

Print Name

Buyer’s Agent

Date

PrintName&Company

State of

Countyof

On

Before me,

personallyappeared ,whoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),and that by his/her/their signature(s) on the instrument the person(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.

IcertifyunderPENALTYOFPERJURYunderthelawsoftheState of that the foregoing paragraph is true and correct.

WITNESSmyhandandofficialseal.

Signature

(insertnameandtitleoftheofficer) (insertnameandtitleoftheofficer)

(Seal) (Seal)

PurchaserEligibilityCertification(continued)Please read, provide all information, and sign.

page | 14PurchaserEligibilityCertification

Seller/BorrowerName

IndyMacMortgageServicesLoanNumber(s)

Prospective Purchaser Information

First Name

LastName

SocialSecurityNumber orTaxID

PurchaserType Individual Partnership Corporation Trust Other

Address(forovernightdelivery)

City,State,ZIP

Country

Contact Person Information

First Name

LastName

Title

Phone Number

FaxNumber

E-mailAddress

IN WITNESS WHEREOF, the undersigned has executed this Certification as of this day: / /

Name of Prospective Purchaser

Signature

NameofAuthorizedSignatory*

TitleofAuthorizedSignatory*

*AuthorizedSignatoryisonlyrequiredwhentheprospectivepurchaserisabusinessornonindividualentity.

Prospective Purchaser InformationPlease provide all applicable information.

page |15Prospective Purchaser Information

Notice Concerning Legal Action

Anypersonwhoknowinglyorwillfullymakesfalseorfraudulentstatementsordisclosuresinconnectionwiththis

CertificationwillbereferredtotheOfficeofInspectorGeneraland/ortheappropriatelawenforcementofficialsfor

investigationandlegalenforcementandmaybesubjecttofinesand/orimprisonment(18U.S.C.§§1001,1007

and 1014).

Privacy Act Statement

TheFederalDepositInsuranceAct(12U.S.C.§§1819,1821,and1823),5C.F.R.Part3201,12C.F.R.Parts340and

366,andExecutiveOrder9397authorizethecollectionofthisinformation.TheFDICwillusetheinformation

toassistinthedeterminationofwhetheraProspectivePurchaseriseligibletopurchaseassetsunderthelaws,

regulations,andpoliciespertainingtotheFDIC.TheFDICmaydisclosethisinformation:1)tootherfederal,state

orlocalagenciesandtocontractorstoassistinthemarketingorsaleofassets;2)toappropriatefederal,stateor

localagencyorresponsibleauthority,totheextentthatdisclosureisnecessaryandpertinentforinvestigating

orprosecutingaviolationoforforenforcingorimplementingastatute,rule,regulationororder,whenthe

informationindicatesaviolationorpotentialviolationoflaw,whethercivil,criminalorregulatoryinnature,and

whetherarisingbyanystatute,orbyregulation,ruleororderissuedpursuantthereto;3)toacourt,magistrate,

oradministrativetribunalinthecourseofpresentingevidence,includingdisclosuretocounselorwitnessesin

thecourseofcivildiscovery,litigation,orsettlementnegotiationsorinconnectionwithcriminallawproceedings,

whentheFDICisapartytotheproceedingorhasasignificantinterestintheproceedingandtheinformationis

determinedtoberelevantandnecessary;4)toacongressionalofficeinresponsetoawritteninquirymadeby

thecongressionalofficeattherequestoftheindividualtowhomtherecordpertains;or5)inaccordwithany

otherroutineuseappropriatefortheFDIC’sInsuredBankLiquidationRecords,#30-64-0013.Submittingthis

informationtotheFDICisvoluntary.Yourfailure,however,tosubmitalloftheinformationrequestedandto

completetheformentirelycouldresultinyourinabilitytobidonorpurchaseFDIC-heldassets.

Estimated Reporting Burden

Publicreportingburdenforthiscollectionisestimatedtoaverage30minutesperresponse,includingthetime

forreviewinginstructions,searchingexistingdatasources,gatheringandmaintainingthedataneeded,and

completingandreviewingthecollectionofinformation.Sendcommentsregardingtheburdenestimateorany

otheraspectofthiscollectionofinformation,includingsuggestionsforreducingthisburden,toPaperwork

ReductionAct,LegalDivision,FDIC,Washington,D.C.20429andtotheOfficeofManagementandBudget,

PaperworkReductionProject(3064-0089),Washington,D.C.20503.Respondentsneednotrespondtothisrequest

forinformationunlessitdisplaysacurrentlyvalidOMBControlNumber.

LegalNoticesPlease read carefully.

page | 16LegalNotices

To IndyMac Mortgage Services

FaxNumber 1.626.583.1370

First Name

LastName


E-mailAddress(required)

Phone Number

MailingAddress

City,State,ZIP

FaxCoverSheetFax this completed financial packet to IndyMac Mortgage Services.

Submission page | 17

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