Apply Now – Foreclosure Rescue Plus

Borrower's Name

Co-Borrower's Name

Borrower's Phone Number

Co-Borrower's Phone Number

I want to

Address

Street Address

Address line 2

City

State

Postal / Zip Code

Country

Mortgage Company

Mortgage Loan Number

Estimated Payoff

Estimated Reinstatement (Delinquency)

Is your home currently scheduled for foreclosure?

Yes No I DON'T KNOW

Foreclosure Sale Date

Marital Status

Have you filed for bankruptcy in the last five (5) years?

NO YES - Chapter 7 YES - Chapter 13

Additional liens, mortgages, and/ or judgments on this property:

I (We) a,/are requesting review under the Mortgage Relief Bailout Program. I am having difficulty making my monthly payment because of financial difficulties created by (check all that apply):

My household income has been reduced. For example: unemployment, underemployment, reduced pay of hours, decline in business earnings, death, disability or divorce of a borrower or co-borrower My monthly debt payments are excessive and I am overextended with creditors. Debt includes credit cards, home equity or other debts. Mt expenses have increased. For Example: monthly mortgage payment reset, high medical or health care costs, uninsured losses, increased utilities or property taxes. My cash reserves, including all liquid assets, are insufficient to maintain my current mortgage payments and cover basic living expenses at the same time. Other

Explanation of Hardship:

Last Mortgage Statement

Survey of the Property

Certified Foreclosure Letter

Hardship Letter

Heirship Affidavit

MORTGAGE RELIEF BAILOUT PROGRAM

A MORTGAGE PROCESSOR WILL BE ASSIGNED TO YOUR FILE WITHIN 24 HOURS OF RECEIVING THE APPLICATION AND WILL CONTACT YOUR DIRECTLY TO DISCUSS THE OPTIONS AVAILABLE THE THE MORTGAGE RELIEF BAILOUT PROGRAM.

FOR QUESTIONS OR ASSISTANCE, CALL: 1-800-550-3902