Short Trac Short Sale Packet

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    Short TraShort Sale Coordination Program

    Short Sale

    Package

    [email protected]

    (888) 485-3432

    Fax: (303) 876-1311

    Why Take the Long Road

    When You Can

    Take the Short Tra

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    SHORT TRAC SHORT SALE COORDINATION PROGRAM

    What is it?The Short Trac Short Sale Coordination Program is designed to help the seller coordinate and facilitate communicationsbetween the listing associate (associate), the lender and the closing/title agent (closing agent) through the short saleprocess. It is a program offered by Short Trac, a TRG affiliated business. This Program is offered in an effort to assistyour clients through what can be a difficult process.

    How do we use it?

    Your local Short Trac representative has the Short Trac Short Sale Packet, which includes the following documents:

    Realtor Submission Checklist

    Borrower / Seller Short Sale Information and Document Checklist

    Short Trac Short Sale Agreement (Agreement) Authorization to Obtain Information

    Short Sale Coordination Form

    TRGs Affiliated Business Arrangement Disclosure Statement

    Affidavit of Arms Length Transaction

    Sample Hardship Letter

    Sample Personal Financial Statement

    Associates are encouraged to bring the short sale packet with them on listing appointments that the associate knows, orbelieves may be, a short sale listing. A sample packet is attached. Associates are not expected to explain the programbut simply to deliver the materials and direct the seller to contact Short Trac with any questions. Upon receipt of anexecuted Short Trac Short Sale Agreement, Short Trac will open a short sale file. Short Trac will begin coordinatingthe necessary documents and compiling a completed short sale packet to submit to the lender.

    Once the short sale file is opened, the associate should provide Short Trac with a copy of the fully executed ListingAgreement and Short Sale Listing Addendum. Upon receipt of a fully executed sales contract, the associate must

    provide Short Trac with a copy, including the Short Sale Contract Addendum, the most recent CMA, BPO or appraisalfor the subject property, and the escrow deposit.

    Who is responsible?

    Short Trac will be responsible for (a) the process of coordinating the short sale transaction; (b) reviewing the completedshort sale packet; (c) delivering the sellers authorization to short sale lender; (d) reviewing all preliminary HUD-1sbefore being sent to short sale lender; (e) submitting the short sale packet to short sale lender; (f) delivering weekly filestatus updates to the Associate; (g) reviewing all approval letters (h) forwarding all approval letters to the associate and(i) forwarding the approval letters to the closing agent to complete the closing.

    Short Trac will not negotiate or attempt to negotiate anything associated with the short sale transaction.

    What does it cost?

    The seller will pay Short Trac a fee of $800 at closing. If closing doesnt occur, no fee will be due. This fee is verycompetitive with, if not less than, other third party companies providing a similar service.

    Contact Information for Short Trac Team is as follows:Direct Line: (888) 485-3432Fax: (303) 876-1311Email: [email protected]

    mailto:[email protected]:[email protected]
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    REALTORS SUBMISSION CHECKLIST

    Please submit the following documentation to Short Trac:

    1. Copy of the fully executed Sales Contract with all Addenda including, but notlimited to, any Short Sale Addendum to Purchase and Sale Contract.

    2. Copy of the fully executed Listing Agreement and Short Sale ListingAddendum.

    3. Proof of Escrow deposit.

    4. Most recent CMA or BPO for the subject property or recent appraisal.

    5. Fully completed and executed Short Trac Short Sale Packet which contains:

    a. Short Trac Agreement;b. Authorization to Obtain Information (completed for each

    loan/mortgage);c. Short Sale Coordination Form (Info Sheet);d. TRG Affiliated Business Arrangement Disclosure Statement;e. Arms Length Transaction Affidavit;f. Sellers financial information (tax returns, W-2s, most recent pay

    stubs);g. Latest correspondence received by the homeowner from the existing

    lender(s) showing who holds the mortgage and the loan number orlatest mortgage statement and any correspondence from thehomeowners association (if any) or their attorneys;

    h. Any communications from first mortgagee/lien holder;i. Any communications from second, third or other subordinate

    mortgagee lien holder; andj. Any communications from Homeowner/Condo Associations.

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    SHORT TRAC SHORT SALE PROGRAM

    SELLER INFORMATION SHEET

    What is it?

    The Short Trac Short Sale Program is designed to help you coordinate and facilitate communications between you, yourlisting associate (associate), the lender and your closing/title agent (closing agent) through the short sale process.It is a Program offered by Short Trac, a TRG affiliated business. This Program is offered in addition to the closing/titleservices offered by TRG in connection with the transaction.

    How do we use it?

    The Short Trac Short Sale Packet contains the following documents: Borrower / Seller Short Sale Information and Document Checklist

    Short Trac Short Sale Agreement

    Authorization to Obtain Information

    Short Sale Coordination Form

    TRGs Affiliated Business Arrangement Disclosure Statement Affidavit of Arms Length Transaction (to be executed once a fully executed contract is received)

    Sample Hardship Letter

    Sample Personal Financial Statement

    Once you receive and review the packet and are satisfied you understand the program, you will need to execute theShort Trac Short Sale Agreement (Agreement) and return it to Short Trac. If you have any questions concerning theprogram you should contact Short Trac. Upon receipt of an executed Agreement, Short Trac will open a short sale file.In addition to the Agreement, you will need to complete the Authorization to Obtain Information, Short SaleCoordination Form, and TRG Business Arrangement Disclosure Statement. You will also need to gather theinformation listed on the Borrower/Seller Short Sale Information and Document Checklist. Upon receipt of these items,Short Trac will begin coordinating the necessary documents and compiling a completed short sale packet to submit toyour lender.

    Once all necessary documentation is received, including a fully executed sales contract, Short Trac will submit thecompleted short sale packet to your lender. Your closing agent will be responsible for ordering the necessary titledocuments to close the transaction and clear any title issues. Any additional information needed by Short Trac will becoordinated with you and your listing associate. It is not unusual for the lender to request a recent CMA, BPO orappraisal for the subject property or other documents to support your short sale request. Your cooperation in supplyingthis information is crucial in the process. Failure to timely provide this information may result in a delay in the processand Short Trac cancelling the Agreement. Short Trac will work with you and your associate to coordinate and submitthis information on your behalf.

    Who is responsible?

    Short Trac will be responsible for (a) the process of coordinating the short sale transaction; (b) reviewing the completedshort sale packet; (c) delivering the sellers authorization to short sale lender; (d) reviewing all preliminary HUD-1sbefore being sent to short sale lender; (e) submitting the short sale packet to short sale lender; (f) delivering weekly file

    status updates to the associate; (g) reviewing all approval letters (h) forwarding all approval letters to you and your theassociate and (i) forwarding the approval letters to your closing agent to complete the closing.

    Short Trac will not negotiate or attempt to negotiate anything associated with your short sale transaction.

    What does it cost?

    You will pay Short Trac a fee of $800 at closing. If closing doesnt occur, no fee will be due. This fee is verycompetitive with, if not less than, other third party companies providing a similar service.

    Contact Information for Short Trac Team is as follows:Direct Line: (888) 485-3432Fax: (303) 876-1311Email: [email protected]

    mailto:[email protected]:[email protected]
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    BORROWER/SELLER SHORT SALE

    INFORMATION AND DOCUMENT CHECKLIST

    NAME(S): ______________________________________________________________

    PROPERTY ADDRESS: __________________________________________________

    Thank you for selecting Short Trac to assist you in connection with the short sale of your property.As you are aware, certain information and documentation will be required by your lender(s) in orderto begin considering your short sale approval request. Although your lender will provide youwith a list, the following will help you to prepare your submittal:

    a. Handwritten or typed hardship letter (sample form attached) explaining yourcircumstances and the reasons you are requesting a short sale, include any supportingdocuments (i.e., Medical bills, judgments, etc.);

    b. Completed Financial Statement (sample form attached). The required form will mostlikely come from your lender;

    c. Last two months pay stubs;

    d. Last two years W-2s/1099s;

    e. Last two years tax returns;

    f. Last two months bank statements;

    g. Supporting documents as evidence of hardship (medical bills, judgments, etc.); and

    h. Divorce documents, if applicable

    NOTE: YOU SHOULD GATHER AND KEEP THESE DOCUMENTS IN A SAFE PLACE ANDSUBMIT THEM WHEN REQUESTED IN A SEALED CONFIDENTIAL ENVELOPE. YOU

    MAY BE REQUIRED TO PROVIDE UPDATED FINANCIAL INFORMATIONTHROUGHOUT THIS PROCESS. PLEASE RETAIN A COPY OF THE DOCUMENTS YOUSUBMIT FOR YOUR RECORDS.

    Disclaimer: Short Trac cannot guarantee the results of a short sale. You should consult with accounting and/or legalprofessionals concerning the short sale process. Short Trac will not negotiate or attempt to negotiate anythingassociated with your short sale transaction. Short Trac is not representing you in the short sale process and anycommunication should not be construed as such. The efforts to assist in the coordination of this short sale transactionshould not be construed to mean Short Trac is/or will represent the Seller in a foreclosure or other legal action.

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    Short Trac Agreement

    This Agreement (the Agreement) is entered into as of ____ day of _____________, 2010 (theEffective Date) by and between Short Trac (the Company) and_________________________________ (individually and collectively, the Customer). TheCompany agrees to assist Customer with the facilitation of a short-sale of pro_______________________ (the Property) upon the following terms and conditions:

    1. Term of the Agreement

    1.1 The term of this Agreement shall begin as of the effective date and shall be in full force andeffect until such time as either party provides written notification to the other that said Agreement

    should be cancelled.

    1.2 If Customer shall neglect or fail to provide any of the documents and/or information byCompany within three (3) calendar days of request, Company shall have the right to immediatelyterminate this Agreement.

    1.3 If Customer provides false or misleading information to the Company, Company shall havethe right to immediately terminate this Agreement.

    2. Fees

    Companys fees for the Services (as defined herein) shall include the payment of a fee of$800.00 to be paid by the Customer at the closing of the sale of Customers Property.

    3. Acknowledgement of Limitation of Responsibilities

    Companys services hereunder shall be limited to the organization and transmission of dataprovided by Customer to Customers mortgage lenders and the transmission of requests made bysaid lenders to Customer in connection with Customers request for short sale approval (theServices). Company does not represent Customer in any fashion and is not acting as Customersagent. Company will not negotiate on Customers behalf with Customers lenders to accomplishthe short sale. Company has not and will not provide accounting, tax or legal advice to Customer in

    connection with the proposed short sale or Customers sale of their Property. Customer furtheracknowledges that Customer has been advised to seek tax, legal and accounting advice fromCustomers advisors. In the event Customer terminates this Agreement, Company will promptlyprovide Customer with copies of contact information and correspondence, e-mails or notes oftelephone conversations with Customers lender(s).

    The Customer acknowledges and agrees they have selected closing agent to perform theclosing and provide title insurance in connection with the sale of this Property. The Customerunderstands the title insurance and closing services are separate and distinct from the Servicesprovided under this Agreement and that there will be separate charges for those title and closingservices. The Customer acknowledges and agrees Short Trac and your closing agent may share,

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    exchange, and/or communicate information, including but not limited to personal identifyinginformation and financial information, as needed pursuant to this Agreement.

    4. Services Not Provided

    The Services shall not include, and this Agreement shall not require the Company to:

    4.1 Prepare documents requested by Customer or Customers lenders;

    4.2 Certify the accuracy of any information provided by Customer;

    4.3 Represent Customer or negotiate on Customers behalf with Customers lenders, real estateagents or creditors;

    4.4 Provide debt relief or bankruptcy services; or

    4.5 Provide Customer with any advice concerning the advisability of a short sale.

    5. Limitation of Liability

    5.1 Company agrees to use its best efforts to provide the Services required under thisAgreement in a prompt manner, but in no event shall the Company, its officers, employees,directors, parents, and/or its affiliates be liable for any damages or liabilities, directly or indirectlycaused by the failure to consummate a short sale, by length of delay in closing, for any potentialdamages incurred by Customer for breach of Customers agreement of sale and any other damagesexpected or unexpected. In no event shall the Company be liable for loss of profits, or any indirect,special, or consequential damages arising out of any breach of this Agreement.

    5.2 Customer agrees Company and its representatives cannot and do not (i) guarantee the resultsof a short sale, or (ii) predict the time the short sale process will take or the terms and conditions

    which may be imposed by Customers lender(s). Customer agrees to hold Company its officers,employees, directors, parents and/or affiliates harmless from any losses or damages of any naturethat in any way may arise out of or relate to Customers efforts to obtain short sale approval,including, but not limited to, any acts or omissions, including negligence, of Company and itsrepresentatives in providing any Services hereunder. The parties are encouraged to consult withaccounting or legal professionals if they have questions about the short sale process. Companysefforts should not be construed to mean Company is or will represent Customer in a foreclosure orother legal action.

    5.3 Company disclaims all warranties of any kind with regard to the subject matter hereof, theServices to be provided by Company, including without limitation, any implied warranty of

    merchantability or fitness for a particular purpose.

    5.4 Customer acknowledges that Customers real estate broker and sales associate(s)(collectively, Broker) have not made any representations of any nature regarding the CompanysServices or the matters described herein and Customer agrees to hold Broker harmless from anyclaims or losses in any way arising out of, or relating to, this Agreement or the Services.

    5.5 Customer hereby covenants to hold-harmless, indemnify, and defend, Short Trac theiremployees, agents, predecessors, successors, assigns, parents and affiliates from any and all liabilityfor any and all claims and/or damages in any way arising out of or by reason of, and any and allknown and unknown, foreseen and unforeseen damages and claims resulting from, or which may or

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    will result or arise out of, directly or indirectly, this Agreement or the Services contemplated orperformed by Short Trac.

    6. General

    6.1 This Agreement is the entire Agreement between the parties and it supersedes all prioragreements and understandings between the parties concerning the subject matter herein. It may bemodified only by written agreement signed by duly authorized representatives of each party.

    6.2. Any party to this Agreement bringing a legal action or proceeding against any other partyarising out of or relating to this Agreement or the transactions contemplated hereby shall bring thelegal action in a state or federal court sitting in Tampa, Florida (the Designated Courts). Eachparty consents to the exclusive personal jurisdiction of the Designated Courts for the purpose of alllegal actions and proceedings arising out of or relating to this Agreement or the transactionscontemplated hereby. Each party agrees that the exclusive choice of forum set forth in this Sectiondoes not prohibit the enforcement of any judgment obtained in the Designated Courts or any otherappropriate forum.

    6.3 Each party to this Agreement consents to the Designated Courts as the sole and exclusive

    venue for any legal action or other proceeding arising out of or relating to this Agreement or thetransactions contemplated hereby. Each party to this Agreement knowingly and voluntarily waives,to the fullest extent permitted by law, (a) any objection which it may now or later have to aDesignated Court as the proper venue for any legal action or proceeding arising out of or relating tothis Agreement, and (b) any claim that any action or proceeding brought in a Designated Court hasbeen brought in an inconvenient forum.

    6.4 Any notice, demand or other communication to a party to this Agreement that is permittedor required under this Agreement shall be given in writing, and shall be deemed to have been dulydelivered (a) when delivered by personal delivery, (b) three (3) days after being deposited with theUnited States Postal Service for mailing by first class mail, postage prepaid, certified mail, with

    return receipt requested (regardless of whether the return receipt is subsequently received), or (c)one business day after being deposited with a nationally recognized courier service for overnightdelivery; and in each case addressed by the sender to the recipient at the address first indicatedabove, to such other address as a party may notify the other party in writing in conformity with theprovisions of this Section.

    6.5 Each party hereto agrees to take all further action, and to execute, acknowledge, and deliverany other documents, which may be reasonably necessary, appropriate, or desirable to carry out thisAgreement.

    6.6 Nothing in this Agreement, whether express or implied, is intended or may be construed toconfer upon, or to grant to, any individual or entity (other than the parties and their legal andpersonal representatives, heirs, successors, and permitted assignees) any right, remedy, or claimunder or because of this Agreement or any covenant, condition, or stipulation of it.

    6.7 The parties may not amend this Agreement orally. The parties may amend this Agreementonly by a written agreement signed by all of the parties to this Agreement.

    6.8 Neither this Agreement nor any rights or performance hereunder may be assigned orotherwise transferred by either party.

    6.9 Any provision of or obligation under this Agreement, which contemplates performance orobservance subsequent to any termination or expiration of this Agreement, shall survive any such

    termination or expiration, and shall continue in full force and effect. In addition, all provisions of

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    this Agreement shall survive the termination or expiration of this Agreement to the fullest extentnecessary to give the parties the full benefit of the bargain expressed herein and of the intentcontemplated hereunder.

    In witness of this, the undersigned have executed this Agreement as of the day and year first writtenabove.

    Company Customer

    Date: _______________________ Date:_________________________

    By: ________________________ By:___________________________

    Customer

    Date: _________________________

    By: ___________________________

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    AUTHORIZATION TO OBTAIN INFORMATION

    The undersigned hereby authorize Short Trac and/or __________________[ENTER NAMEOF LISTING ASSOCIATE] (Realtor) to discuss with or inquire about and/or to request/receiveinformation related to the undersigneds mortgage loan accounts and/or any other account placedeither voluntarily or involuntarily against the undersigned either individually, jointly or against theundersigneds property. The undersigned further authorizes you (i.e., the lender, bank, and/orcreditor) to accept a copy of this signed document as authorization to discuss my account(s) withShort Trac and/or Realtor and to release to them any and all requested information, including butnot limited to, payoff statements, changes to instructions or payoff statements, demand letters,subordination agreements, satisfaction letters, paid-in-full letters, co-creditor information or

    attorney information.

    Specifically, the undersigned authorizes_________________[ENTER NAME OFLENDER] to discuss with or respond to inquiries from Short Trac and/or Realtor or to provide toShort Trac and/or Realtor any information and/or document requested in connection with theloan/mortgage described below:

    Loan Number: _________________________________

    Property Address: _________________________________

    _________________________________

    Mailing Address: _________________________________(if different than above)

    _________________________________

    ________________________________Borrower Signature

    Borrower Printed Name:

    ________________________________Borrower Signature

    Borrower Printed Name:

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    Short Sale Coordination Form

    Full Legal Name:___________________________________________________________

    DOB: ________________________________________________________________

    SSN: _________________________________________________________________

    Mailing Address: _______________________________________________________

    _____________________________________________________________________

    Short Sale Property Address, if different from mailing address:

    _____________________________________________________________________

    Main Contact Number: __________________________________________________

    Alternate Contact Number: _______________________________________________

    Best time of the day to reach you: __________________________________________

    Your Email Address: ____________________________________________________

    Your Fax Number: ______________________________________________________

    Preferred method to receive documents (circle one): Mail Fax E-mail

    _____________________________________________________________________

    Are you the only person on the deed? Yes / No

    Co-Owners:

    Name Address Relationship SSN

    ______________________________________________________________________

    ______________________________________________________________________

    ______________________________________________________________________

    Are you the only person on the mortgage? Yes / No

    Are you the only person on the note securing the mortgage? Yes / No

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    Co-Borrowers:

    Name Address Relationship

    ______________________________________________________________________

    ______________________________________________________________________

    ______________________________________________________________________

    ______________________________________________________________________

    Are all Owners U.S. Citizens? Yes / No

    Is this your primary residence?_______ Tenant Occupied?________ Vacant? ______

    Investment________

    Do you know mortgage balances: First ____________ Second: ______________

    Has it been more than one year since the property was mortgaged / refinanced?______

    What type of mortgage do you have?

    ____Conventional/Fixed ____Adjustable Rate ____Home Equity Line of Credit

    Names and account numbers of all loans/lien holders?

    Are you current with the mortgage(s)? ______________________________________

    If not, how many payments have you missed, and what is the total for the missed

    payments, including late fees and costs? ____________________________________

    Current with HOA Fees? Y / N__ Past due amounts: $________________________

    Next payment due date? __________

    How much? ______________ Have you received any letters from HOA?_______

    Current on the property taxes? ____________________________________________

    Any other liens (e.g., IRS/child support/alimony) on the property/Amounts?

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    ________________________________________________________________________

    ________________________________________________________________________

    Have you talked to your lender about a short sale or loan workout? _______________

    Have they said that they would consider a short sale? _________________________

    Who have you spoken to/contact info: _____________________________________

    ____________________________________________________________________

    Have you been assigned a loss-mitigator? If yes, name/contact info:______________

    _____________________________________________________________________

    When was the last time you spoke with the lender? ___________________________

    What documents have you sent them or have they requested?

    ____________________________________________________________________

    Have they sent you a short sale packet or other documentation? ________________

    Have you received:

    Letters from the bank: _______________________________________________

    Notice of Seizure: __________________________________________________

    Court papers or papers from any attorneys? ______________________________

    Have you spoken with an attorney? ________________________________________

    Have you spoken with an accountant? ______________________________________

    Please do not provide any communications between you and your lawyer or accountant as

    doing so may result in your waiver of any attorney/accountant client privilege that may

    exist.

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    AFFIDAVIT OF ARMS LENGTH TRANSACTION

    BEFORE ME, the undersigned authority, duly authorized to take acknowledgments andadminister oaths personally appeared _____________________ (Affiant), who deposes and saysunder penalties of perjury:

    1. Affiant is over the age of eighteen and is competent to make this statement.2. This affidavit is made with regard to the following described property:

    [ENTER LEGAL DESCRIPTION]3. I affirm that I am selling this property to _____________________________, the Buyers.4. To the best of my knowledge, the sales price of the Property represents fair market for

    comparable properties in the area.5. I am not a relative, by blood or marriage of the Buyers.6. The property described in item 2 is currently being conveyed in an arms length transaction

    for good consideration between strangers.7. No special consideration has been given to the Buyers with regard to the sales price.8. No party to the sales contract is a family member, business associate or shares a business

    interest with the Affiant.9. There are no hidden/undisclosed terms or special understandings between the Affiant and

    Buyers or their respective agents.10. The Affiant and Buyers, nor their respective agents, have any agreements, written or

    implied, that will allow the Affiant to remain in the Property as a rownership of the Property at anytime after the execution of this short sale transaction.

    11. No parties to this transaction shall receive any proceeds from this transaction except for theapproved sales commission paid to brokers.

    12. Affiant(s) hereby agree to indemnify and hold Short Trac harmless of and from any and allloss, claim, cost, damage and/or expense of any kind or character whatsoever, includingattorneys fees, which Short Trac shall or may suffer or become liable resulting from their

    reliance on the matters set forth in this affidavit.________________________________

    Seller Signature___________________________Seller Printed Name

    STATE OF

    COUNTY OF

    Sworn to, affirmed, acknowledged and subscribed before me this day of, 20 , by __________________________________ , who: [ ] is personally known to me;

    or [ ] produced as identification.

    NOTARY PUBLIC SIGNATUREPrint Name:My Commission Expires:Stamp/Seal:

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    NOTE: THIS IS A FORM ONLY. PLEASE USE THIS INFORMATION IN PREPARING YOUROWN HARDSHIP LETTER IN YOUR OWN WORDS.

    SAMPLE HARDSHIP LETTER(One Letter for EACH Lender)

    Date:

    (Name and Address of Lender)

    Re: Property Address:Loan No.:

    To Whom It May Concern:

    Please consider this as my formal request to review my financial situation for the purpose of reducing the requiredamount to payoff my existing loan in order to avoid the potential of foreclosure.

    I am unable to continue to make my monthly mortgage payment due to the following extenuating circumstances (please

    explain in detail your circumstances):

    Sincerely,

    Owner/Borrower Owner/Borrower

    Please attach copies of all applicable documentation to support this Hardship Letter.

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    PERSONAL FINANCIAL STATEMENTNOTE: PLEASE GATHER INFORMATION NECESSARY TO COMPLETE THIS TYPE OF FORM. THIS FORM REQUESTS

    INFORMATION GENERALLY REQUESTED BY THE SHORT SALE LENDERS.

    Date Prepared: Loan Number(s):Borrowers Name:Borrowers Employer:Co-Borrowers Name:

    Co-Borrowers Employer:Phone Number: Evening:Number of Dependants:Property Address:Mailing address (if different):

    MONTHLY INCOME:

    Borrowers Monthly NET income: $Co-Borrowers Monthly NET income: $Other Income: $(Please circle) Child Support, Alimony, Rental, Other $

    MONTHLY EXPENSES:

    MONTHLY

    EXPENSE

    MONTHLY

    PAYMENT

    MONTHLY

    PAYMENTBALANCE OWED

    Mortgage Payment $_______________ 2nd Mortgage $_______________ $_______________

    Child Care $_______________ Other Mortgages $_______________ $_______________

    Alimony/Child Suppor t $_______________ Rent Paid $_______________ $_______________

    Telephone $_______________ Doctor Bills $_______________ $_______________

    Cell Phone/Pager $_______________ Hospital Bills $_______________ $_______________

    Gas/Oil $_______________ Auto Loan Pymt $_______________ $_______________

    Electricity $_______________ Auto Loan Pymt $_______________ $_______________

    Trash/Sewer $_______________ *Homeowners Ins $_______________ $_______________

    Food $_______________ *Property Taxes $_______________ $_______________

    Water $_______________

    Auto Insurance $_______________ *If not included in mortgage payment

    Transportation/Gas $_______________

    Life Insurance $_______________

    Cable/Satellite $_______________

    Clothing $_______________

    Prescr iptions $_______________

    OTHER MONTHLY EXPENSES (Example: Credit Cards, Department Store Cards, IRS Lien):

    Paid to: Balance: Monthly Payment:1.__________________________ $___________________ $__________________2.__________________________ $___________________ $__________________3.__________________________ $___________________ $__________________

    If additional space is needed, please continue to list on reverse side.

    The undersigned represents and warrants that the information submitted in this personal financial statement is true, accurate andcomplete. The information and documentation provided does not omit any material fact or matter that makes the information ordocumentation presented misleading.

    Borrower _______________________________ Date _____________________________

    Borrower _______________________________ Date _____________________________