WORKABLE SOLUTIONS APPLICATION
Loss Mitigation Case Number________________
PART A BORROWER INFORMATION Borrower Name Social Security No. Best Time to Call: Co-Borrower Name Social Security No. Best Time to Call:
Borrower Phone No. Day ( ) Evening ( ) Cell ( )
Co-Borrower Phone No. Day ( ) Evening ( ) Cell ( )
Property Address:
Mailing Address (If Applicable): City Street City
Street
State Employer (Current):
Zip Code Position:
State Employer (Current):
Zip Code Position:
Employer Phone: ( ) Additional Income Source: e-mail address: Previous Employer (If in current job for less than 5 years): Employer Phone:
Years on Job:
Employer Phone: ( ) Additional Income Source: e-mail address: Previous Employer (If in current job for less than 5 years): Employer Phone:
Years on Job:
Years on Job:
Years on Job:
Position:
Years on Job:
1 BAW, LLC DBA Hope Now Mitigations 24Spring Hill Dr. Laurel Springs, NJ 08021 Phone: (856)481-3600 Fax: (856)344-2432
PART B GENERAL QUESTIONS Question: 1. Do you occupy this mortgaged property as a Primary Residence? If you answered, Yes to question 1, how long at this residence? 2. How many people in the household? 3. Any dependents under the age of 18? If yes how many? 4. Do you have any other debts or obligations secured by this property?
(2nd mortgage, home equity loan, judgments or loans) If you answered, Yes to question 4, please itemize
Yes
No
Years:
Months:
Amount
Amount 5. What is the amount of funds you immediately have available to apply towards mortgage delinquency? 6. In addition to amount stated above, what amount will you have available in 30 days?
PART C MONTHLY INCOME Description(Monthly) Gross Salary/ Wages Other Income Other Income (SSI, Rental, 2nd Job, Support) Total Net Income PART D ASSETS Description (Monthly 1. Cash on Hand 2. 401K 3. Savings 4. Checking Borrower $ $ $ $ Co-Borrower $ $ $ $ Total $ $ $ $ 2 BAW, LLC DBA Hope Now Mitigations 24Spring Hill Dr. Laurel Springs, NJ 08021 Phone: (856)481-3600 Fax: (856)344-2432 Borrower $ $ $ Co-Borrower $ $ $ Total $ $ $
$
$
$
PART E MONTHLY EXPENSES Description (Monthly) 1. Primary Home Mortgage 2. Rent (if not owner occupied) 3.Maintenance/ Homeowner Assoc. 4. Property Taxes 5. Homeowners /Flood Insurance 6. Other Mortgages 7. Automobile Loans 8. Other Loans 9. Credit Cards ( minimum
payment)
Monthly Payment $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Balance Due $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
# Months Delinquents
10. Alimony/ Child Support 11. Child/Dependent Care 12. Utilities (water, electric, gas,
cable, etc.)
13. Telephone (land and cell) 14. Insurance (auto, health, life) 15. Medical Expenses (uninsured) 16. Car Expenses ( gas,
maintenance , parking)
17. Household Expenses 18. Other Monthly Expenses 19. Other Monthly Expenses 20. Other Monthly Expenses Total
3 BAW, LLC DBA Hope Now Mitigations 24Spring Hill Dr. Laurel Springs, NJ 08021 Phone: (856)481-3600 Fax: (856)344-2432
Have you ever filed Bankruptcy? ________________ When? ________ If so, Name and phone # of lawyer? ____________________________ How much money do you have to offer your mortgage today? $______ How much can you save in the next 30 to 45 days? $_________________ Is your Loan FHA? __________________________________________ Date loan was originated; _____________________________________ Do you have an adjustable or fixed rate? What’s the rate at now? _______
4 BAW, LLC DBA Hope Now Mitigations 24Spring Hill Dr. Laurel Springs, NJ 08021 Phone: (856)481-3600 Fax: (856)344-2432