Foreclosure Request

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Property Owner's Name
Address
Street Address Address Line 2 City State ZIP Code
Is property owner occupied?
- Yes
- No
- Unknown
Very Important: Provide any additional known addresses for the borrower/ current owner (other than the above):
Other Known address (1)
Other Known address (2)
Other Known address (3)
Loan Specifications
Original Principal Amount
Original Note Term (From-To)
Loan Interest rate
Current Principal Balance
Lien position (if known, 1st, 2nd, 3rd, etc.)
Monthly Payment
Due Date of Missed Pymt
Number of Payment now past due
Amount of Late Charges
Number of Late Charges now due
Have you made any advances (senior liens, property taxes, insurance, attorneys)?
- Yes
- No
If yes, to whom and what for:
Date and amount of each advance
Reasons for Default
Check All that Apply
- Failure to make monthly payments
- Failure to pay loan when due in full (balloon payment)
- Failure to pay senior debt
If failure to pay taxes, maintain property, insurance, or other, provide details below:
Are senior liens in foreclosure?
- Yes (provide copies of any documents you have received)
- No
Does the property generate rents?
- Yes
- No
Other necessary information
Your Contact Information
Your name (and company if applicable)
Address
Street Address Address Line 2 City State ZIP Code
Phone
FAX
Email

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Loan Specifications