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					                             HOMEOWNER WORKSHEET
Name of Owner_______________________      Phone:______________________
Address:____________________________      Work PH____________________
City_______________ State____________     Cell PH_____________________
Email Address________________________     Fax_________________________

What Kind of Property is it?___________________ Year Built________________
Sq Ft_________________ # Bedrooms____________ #Baths________________
Garage Attached_________ Unattached____________ #of cars_______________
Basement ______________ Finished______________ Unfinished_____________
Pool_____________          Fireplace_____________
Other Amenities_______________________________________________________

Any Repair or Rehab
needed:_____________________________________________________________________________________________________
____________________________________________________________________________________________________________
General Condition of the home(outside, inside, carpet, paint, drapes, kitchen, bath
etc_________________________________________________________________________________________________________
____________________________________________________________________________________________________________
How old is the Roof:_______________________________________________________

How long have you owned the property:_________________ Price_________________

Mortgage Company:___________________      Phone Number__________________
Principle Balance:_______________         Monthly Payment________________
Back payments due:___________________     Loan # _________________________

2nd Mortgage Company____________________ Phone Number__________________
Principle Balance:_______________        Monthly Payment_______________
Back payments due:___________________   Loan # _________________________

3rd Mortgage Company____________________ Phone Number__________________
Principle Balance:_______________           Monthly Payment_______________ Back payments
due:___________________       Loan # ________________________

Any other liens on the Property?____________________________________________
Lien:_____________________
Balance:__________________
Lien:_____________________
Balance:__________________

Property Taxes paid?_________________________

Do you have a Auction Date?________________
What do you think the property is worth?____________________________________
How did you come up with that number?____________________________________
Do you have a recent appraisal?____________________________________________ Have you had the property for
sale?________________
How long?_________________
What price____________________
Why hasn’t it sold___________________________
When are you moving?_____________________________________________________


Notes/Comments_____________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
________________________________________________________________________
                  Third Party Authorization to Release Information
                                       Shall expire 3 years from the date below or be revoked in writing



Lender ____________________________________ Loan/Account Number:_______________________

Lender Phone Number __________________________________Fax Number:---------------------------------


2nd Lender __________________________________ Loan/Account Number: ____________________

Lender Phone Number __________________________________Fax Number:---------------------------------


3rd Lender ___________________________________ Loan/Account Number: ___________________

Lender Phone Number _______________________________                            Fax Number:---------------------------


Property Address:_____________________________________________________________________


I/We hereby authorize you to release to Premonition Investments LLC.                                                     Or its agent’s
representatives to discuss and receive any and all loan information via fax, email, or by phone now or in the future, either personal or
financial information concerning the following accounts/ loans for the property address referenced above. The word “Agents” shall
include all Real Estate Agents, Attorneys and their assistants. You may reproduce this document to acquire reference from more than
one source.

This document also serves as a request for information regarding current past and future payment including principle interest taxes and
insurance amounts, current loan balance, pay off amount, reinstatement amount, fees and penalties that are required to either pay off
the balance or bring the account current.
Please give your full cooperation just as you would if you were dealing with me

This authorization shall remain until revoked in writing.

Please forward current payoff to : Chantel Robertson @ (602)-926-2225
Any additional information and documentation required please contact Chantel Robertson (602)-326-9341


HOA:    Yes ----------- No----------

HOA Name :---------------------------- HOA Phone Number:-------------------------------------------




Borrowers Signature:_____________________________________ SS#________________ Date:__________

Borrowers Name (Please Print)________________________________________________________________


Co-Borrowers Signature:_________________________________SS#_________________Date:___________

Co-Borrowers Name (Please Print)_____________________________________________________________



A photo copy of this authorization along with the appropriate signatures may be deemed to be the equivalent to the original
                          HARDSHIP LETTER
DATE:


LENDER NAME:
LOAN NUMBER:
ADDRESS:




Thank you again


Borrower’s Signature

Date:

Co-Borrower’s Signature

Date:
REQUEST FOR FINANCIAL INFORMATION                                        Loan number:

Borrower                                                                 Co-Borrower
Borrower's Name                                                          Co-Borrower's name

Social Security Number                  Date of Birth                    Social Security Number             Date of Birth

Home Phone Number With Area             Work Phone Number With           Home Phone Number With             Work Phone Number With Area Code
Code                                    Area Code                        Area Code
Mailing Address                                                          Mailing Address

Property Address(If same as mailing address, just write same)

# of persons living at residence                                         # of persons living at residence

Do you occupy         Is it a rental              Is it leased? (if yes, please         Is the property listed for sale? Yes or No If yes, please
the property?         property?                   provide a copy of the                 provide a copy of the listing agreement.
                                                  agreement)
Yes          No       Yes              No         Yes                No                 Agents Name, Phone Number and Email

Have you ever contacted a credit-counseling agency for help? Yes or No.            If yes, please provide the counselors name, phone, and email

Do you receive, and pay, the Real Estate Tax bill on your home or does your lender pay it for you? I do            Lender does     (circle one)

If you pay it, please provide a copy of your tax statement.       Are the taxes current? Yes or No (circle one)

Do you pay for a hazard insurance policy? Yes or No (circle one) Is the policy current? Yes or No (circle one) If you pay it, please
provide a copy of the policy.

Have you filed for Bankruptcy? Yes or No? (circle one) If yes, is it Chapter 7 or Chapter 13? (circle one) Filing
Date:___________________________________              Has your bankruptcy been discharged? Yes or No (circle one) If yes, please
provide a copy of the discharge order signed by the court.


                                                        INVOLUNTARY INABILITY TO PAY
I(We) ___________________________________________________________________, am/are requesting that the PremonItion
Investments LLC review my/our financial situation to determine if I/we qualify for a workout option. I am having difficulty making my
monthly payment because of financial difficulties created by (Please check all that apply)

‫ ۝‬Abandonment of Property               ‫ ۝‬Excessive Obligations                   ‫ ۝‬Military Service               ‫ ۝‬Other

‫ ۝‬Business Failure                      ‫ ۝‬Fraud                                   ‫ ۝‬Payment Adjustment

‫ ۝‬Casualty Loss                         ‫ ۝‬Illness in Family                       ‫ ۝‬Payment Dispute

‫۝‬     Curtailment of Income             ‫ ۝‬Illness of Mortgagor                    ‫ ۝‬Property Problems

‫ ۝‬Death in Family                       ‫ ۝‬Inability to Rent Property              ‫ ۝‬Title Problems

‫ ۝‬Death of Mortgagor                    ‫ ۝‬Incarceration                           ‫ ۝‬Transferring Property

‫ ۝‬Distant Employment                    ‫ ۝‬Marital Difficulties                    ‫ ۝‬Unemployment
Transfer
I believe my situation is:                                                        ‫ ۝‬Long Term (over 6
                                        ‫ ۝‬Short Term (under 6 months)             months)                          ‫ ۝‬Permanent
I want to:
                                        ‫ ۝‬Keep the Property                       ‫ ۝‬Sell the Property

EMPLOYMENT-please provide last two (2) pay stubs from each employer
Borrower Employer            How long?                      Co-Borrower Employer                       How Long?


Employer Address and Phone Number                                     Employer Address and Phone Number
Position                     Gross Pay per Period $              Position                     Gross Pay Per Period $

Commission Bonus $           Net Pay Per Period $                Commission Bonus $           Net Pay Per Period $

How often paid?              # of Dependants                     How often paid?              # of Dependants

Other monthly income-        Amount $                            Other monthly income-        Amount $
Description                                                      Description
Expenses
Housing                               Miscellaneous                                Other
Type                   Monthly        Type                       Monthly           Type                  Monthly
Mortgage                              Health Insurance (not
Payment                $              withheld from pay)         $                 Bank/Finance Loans    $
Hazard Insurance       $              Medical Bills              $                 Charge Account (1)    $
Property Taxes         $              Food                       $                 Charge Account (2)    $
Phone                  $              Auto (1)                   $                 Charge Account (3)    $
Water/Sewer            $              Auto (2)                   $                 Charge Account (4)    $
Electric               $              Auto Insurance             $                 Charge Account (5)    $
                                                                                   Personal/Life
Natural Gas            $              Gas                        $                 Insurance             $
Second Mortgage        $              Child Care                 $                 Dry Cleaning          $
HOA                    $              Child Support              $                 Clothing              $
Other                  $              Alimony                    $                 Other                 $
Other                  $              Other                      $                 Other                 $
Total                  $              Total                      $                 Total                 $
Checking Account       $              HELOC                       $
                                      Approximate Value of
Savings Account        $              Primary Residence           $
CD's, Stocks,
401k, IRA              $              Other Assets               $
Other Real Estate
Value                  $

Other Lien Holder Information
Name of Institution:
Account Number:                  Phone Number:                Amount Owed: $




Other Lien Holder Information
Name of Institution:
Account Number:                  Phone Number:                Amount Owed: $




Other Lien Holder Information
Name of Institution:
Account Number:                  Phone Number:                Amount Owed: $




Other Lien Holder Information
Name of Institution:
Account Number:                  Phone Number:                Amount Owed: $




Other Lien Holder Information
Name of Institution:

				
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