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Mortgage Modification Application Form

Thank you for accessing our mortgage modification application form. We are glad that you have chosen ModYourLoans.com to assist you during these troubling times. We have automated much of the process involved in getting the required information needed to perform a successful mortgage modification.

Please fill out the form below to begin the process of mortgage modification. After completing the form you should expect a response letting you know if you've been approved for help within 1-2 business days.

There is no cost and no obligation for submitting this form.
Name
Bank holding the Loan
( Flagstar Bank )
Email Address
Amount owed on mortgage
( $310,000 )
Months late on mortgage payments
Property Address
( City, State )
Daytime Phone #
( 222-333-4444 )

Why do you need a mortgage modification?
What is preventing you from making payments in full?
(Please be as detailed as possible)

Progress So Far:

   

Tip: You can bookmark this page and come back later to finish filling out the form. Your progress is saved.

Borrower Co-Borrower
First Name
First Name
Last Name
Last Name
Social Security #
Social Security #
Mailing Address
Mailing Address
Home Phone
Home Phone
Cell Phone
Cell Phone
Work Phone
Work Phone
Date of Birth
Date of Birth

Progress So Far:

   

Tip: You can bookmark this page and come back later to finish filling out the form. Your progress is saved.

Property Address , ,
Description
 Lender 1 Lender 2
Lender Name
Account Number
Interest Rate
Loan Type
Monthly Payment

Is this property in foreclosure?  
Is this property your primary residence?  
Do you plan to remain at this property?  
Have you ever filed for bankruptcy?

Was the home included in the bankruptcy?
How much money do you currently have available?  
How many months are you delinquent on mortgage?  
How many months are you delinquent on property insurance?  
Household occupants under 18?  
Have you applied for a special forbearance?
Have you been approved for a repayment plan previously?
Result of plan:


Progress So Far:

   

Tip: You can bookmark this page and come back later to finish filling out the form. Your progress is saved.

Description
 Borrower Co-Borrower
Currently Employed
Present Employer
Position
Length of Employment
Payment Period

Progress So Far:

   

Tip: You can bookmark this page and come back later to finish filling out the form. Your progress is saved.

Liquid Assets
Balance    
Checking/Savings
    
Certificates of Deposit
    
Stocks/Bonds/Mutual Funds
    
Retirement Accounts
    
Other:
   
       
Non-Liquid Assets
 Value (est.) Amount Owed  
Primary Home (lookup on zillow.com)
Other Property
  
Vehicle 1
  
Vehicle 2
  
Cash Value Life Insurance
  
Other 1:
 
Other 2:
 

Progress So Far:

   

Tip: You can bookmark this page and come back later to finish filling out the form. Your progress is saved.

Monthly Amounts
Borrower Co-Borrower  
Gross Pay
 
Paycheck Deductions
 
Bonuses
  
Disability/Retirement/Soc Sec
 
Child Support/Alimony
 
Rentals
  
Unemployment
  
Other 1:
 
Other 2:
 

Progress So Far:

   

Tip: You can bookmark this page and come back later to finish filling out the form. Your progress is saved.

Category
 Description Monthly Payment
Months Delinquent
Property Loans
 1st Mortgage
2nd Mortgage
Total Property Taxes
Total Property Insurance
Other Loans
   Monthly Payment Balance Due
Vehicle 1  
Vehicle 2  
Alimony/Child Support
Student Loans
Other 1:
Other 2:
Credit Cards
Major Credit Cards
Retail Credit Cards
Utilities
 Electricity  
Home Heating  
Water  
Telephone  
Cell Phone  
Cable/Internet  
Association Dues  
Waste Disposal  
Insurance
 Vehicle Insurance  
Life Insurance  
Vehicle
 Fuel  
Maintenance  
Household
 Number in Household  
Groceries/Supplies  
Day Care  
Medical  
Educational  
Pet Care  
Other:  

Progress So Far:

   

Please Note: This page is asking for your average MONTHLY expenses..
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