LL.M. Real Property
and
Land Development
Florida Bar
New York Bar
District Of Columbia Bar
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Foreclosure or Mortgage Modification Intake Checklist
11. Where did you find and how do you know your loan officer / mortgage broker? |
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12. Loan Information: |
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a. Name of Mortgage Company? |
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b. Monthly payment amount? |
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Loan balance (if known)? |
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c. Number of payments past due? |
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When last payment made? |
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d. Have your payments ever been refused?: |
Yes
No |
Has the bank ever accepted a partial payment: |
Yes
No |
e. Term of mortgage (in months): |
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f. Interest rate: |
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Is the interest rate |
Fixed
Adjustable
Negative AM
Interest Only |
g. Did you provide income documents (W-2, 1099, Paystubs, etc.) to the Mortgage Broker when you applied for the loan?: |
Yes
No |
h. Do you have a stated income or no document loan?: |
Yes
No |
i. Does the mortgage include escrow for taxes and insurance? |
Yes
No |
If no, then are you current on your taxes and homeowner’s insurance? : |
Yes
No |
j. Did you provide the Title Agent with an owner’s policy of title insurance?: |
Yes
No |
k. Are you current on your HOA/Condo dues? |
Yes
No |
l. Is this a re-finance?: |
Yes
No |
If yes, when was the last refinance?: |
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Has there been more than one refinance; and, if so, when?: |
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If yes, did you get cash out at closing?: |
Yes
No |
How much? |
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If you got cash out at closing, what was it used for: |
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m. What type of loan did you have before you re-financed? |
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Old interest rate: |
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n. Do you have a second mortgage?: |
Yes
No |
If yes, are you current on that mortgage?: |
Yes
No |
o. List all names on mortgages: |
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Continue with Questionnaire >> |
PLEASE ESTIMATE YOUR MONTHLY EXPENSES
(average to reach a monthly amount) |
EXPENSES |
AMOUNT |
Rent or mortgage payments |
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Lot rent if you own a mobile home but not the land |
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Utilities (electricity, gas, water, sewer) |
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Cable/Satellite/Internet |
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Telephone, cell phone |
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Home security, home maintenance |
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Food |
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Tobacco, alcohol |
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Clothing, laundry, dry cleaning |
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Haircuts/nail care/personal grooming |
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Medical and dental expenses |
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Transportation (gas, oil, repairs, tags, registration) |
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Recreation, entertainment, subscriptions |
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Charitable contributions |
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Property taxes (if not included in mortgage payment) |
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Homeowner’s insurance (if not included in mortgage) |
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Life insurance (not deducted from paycheck) |
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Health insurance (not deducted from paycheck) |
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Auto insurance |
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Other insurance (specify): |
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Income taxes (not deducted from paycheck) |
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Car payments |
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Other installment payments (specify): |
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Child care, tuition, children’s activities |
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Alimony, maintenance and support |
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Other expenses (specify) |
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Total: |
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Admitted
To
Practice
Before the Following Courts
United States Supreme Court
U.S. Claims Court
U.S. Tax Court
U.S. Court of Appeals
U.S. Court of international Trade
U.S. Court of Military Appeals
U.S. Federal District Court
For The S.D.F.L. M.D.F.L.
E.D.N.Y. and W.D.N.Y |