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Form 1126

Borrower Financial Information

Freddie Mac 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 CODE

(BEST TIME TO CALL)

HOME PHONE NUMBER WITH AREA CODE

(BEST TIME TO CALL)

WORK PHONE NUMBER WITH AREA CODE

(BEST TIME TO CALL)

WORK PHONE NUMBER WITH AREA CODE

(BEST TIME TO CALL)

CELL PHONE NUMBER WITH AREA CODE

(BEST TIME TO CALL)

CELL PHONE NUMBER WITH AREA CODE

(BEST TIME TO CALL)

MAILING ADDRESS

PROPERTY ADDRESS (IF SAME AS MAILING ADDRESS, JUST WRITE SAME)

EMAIL ADDRESS

Number of Dependants:

Do you occupy the property?

Is it rental property? Yes

Is it leased? Yes

Yes

If you have a lease agreement, please provide a copy.

Is the property listed for sale?

Yes

Have you contacted a credit-counseling agency for help?

Yes

If yes, please provide a copy of the listing agreement.

If yes, please complete counselor contact information below.

Agent’s Name:

Counselor’s Name:

Agent’s Phone Number:

Counselor’s Phone Number:

Agent’s Email:

Counselor’s Email:

Do you receive, and pay, the Real Estate Tax bill on your home or

Do you pay for a hazard insurance policy?

Yes

does your lender pay it for you? I do

Lender does

Is the policy current?

Yes

Are the taxes current? Yes

If you pay it, please provide a copy of the policy.

If you pay it, please provide a copy of your tax statement.

Have you filed for bankruptcy? Yes

Has your bankruptcy been discharged? Yes

		If yes: Chapter 7	Chapter 13	Filing Date:_______________
No		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 Federal Home Loan Mortgage Corporation

(Freddie Mac) 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
Business Failure		Fraud
Casualty Loss		Illness in Family
Curtailment of Income		Illness of Mortgagor
Death in Family		Inability to Rent Property
Death of Mortgagor		Incarceration
Distant Employment Transfer		Marital Difficulties
I believe that my situation is:	Short term (under 6 months)
I want to:	Keep the Property

Military Service

Payment Adjustment

Payment Dispute

Property Problems

Title Problems

Transferring Property

Unemployment

Long term (over 6 months)

Sell the Property

Other

Permanent

Please provide a detailed explanation of the hardship on a separate sheet of paper.

If there are additional Liens/Mortgages or Judgments on this property, please name the person(s), company or firm and their respective telephone numbers.

Lien Holder’s Name		Balance / Interest Rate	Phone Number (WITH AREA CODE)
	$
Lien Holder’s Name		Balance / Interest Rate	Phone Number (WITH AREA CODE)

Before mailing, make sure you have signed and dated the form and attached appropriate documentation.

Volume 2	Single-Family Seller/Servicer Guide	Page F1126--1
Bulletin 2007-5		12/19/07

EMPLOYMENT

BORROWER- EMPLOYER’S ADDRESS & PHONE #	HOW LONG?	CO-BORROWER- EMPLOYER’S ADDRESS & PHONE #	HOW LONG?

Monthly Income - Borrower		Monthly Income - Co-Borrower
Gross Wages / Frequency of Pay	$	Gross Wages / Frequency of Pay			$
Unemployment Income	$	Unemployment Income			$
Child Support / Alimony*	$	Child Support / Alimony*			$
Disability Income/ SSI	$	Disability Income/ SSI			$
Rents Received	$	Rents Received			$
Other	$	Other			$
Less: Federal and State Tax, FICA	$	Less: Federal and State Tax, FICA			$
Less: Other Deductions (401K, etc.)	$	Less: Other Deductions (401K, etc.)			$
Commissions, bonus and self-employed income	$	Commissions, bonus and self-employed income			$
* * * * * A L L I N C O M E N E E D S T O B E D O C U M E N T E D * * * * * *
Paystub must be most recent date with year to date information.
Total (Net income)	$			Total (Net income)	$
Monthly Expenses				Assets
Other Mortgages / Liens	$		Type		Estimated Value
Auto Loan(s)	$	Checking Account(s)			$
Auto Expenses / Insurance	$	Saving / Money Market			$
Credit Cards / Installment Loan(s)	$	Stocks / Bonds / CDs			$
(total minimum payment for both per month)
Health Insurance (not withheld from pay)	$	IRA / Keogh Accounts			$
Medical (Co-pays and Rx)	$	401k / ESPO Accounts			$
Child Care / Support / Alimony	$	Home			$
Food / Spending Money	$	Other Real Estate		#	$
Water / Sewer / Utilities / Phone	$	Cars		#	$
HOA/Condo Fees/Property Maintenance	$	Life Insurance (Whole Life not Term)			$
Life Insurance Payments (not withheld from pay)	$	Other			$
Total	$			Total	$

*Alimony, child support or separate maintenance income need not be revealed if the Borrower or Co-borrower does not choose to have it considered for repaying this loan.

I agree as follows: My lender may discuss, obtain and share information about my mortgage and personal financial situation with third parties such as purchasers, real estate brokers, insurers, financial institutions, creditors and credit bureaus. Discussions and negotiations of a possible foreclosure alternative will not constitute a waiver of or defense to my lender’s right to commence or continue any foreclosure or other collection action, and an alternative to foreclosure will be provided only if an agreement has been approved in writing by my lender. The information herein is an accurate statement of my financial status. I consent to being contacted concerning my Mortgage at any cellular or mobile telephone number I may have. This includes text messages and telephone calls to my cellular or mobile telephone.


Submitted this		day of			, 20
By			By
	Signature of Borrower			Signature of Co-Borrower

Before mailing, make sure you have signed and dated the form and attached appropriate documentation.

Volume 2	Single-Family Seller/Servicer Guide	Page F1126--2
Bulletin 2007-5		12/19/07

FOR LENDER USE ONLY

Provide the appropriate information about the borrower, mortgage and property. If there are junior or superior liens, indicate the total amount owed, the name of the lien holder(s) and the status of the lien (i.e., current, in foreclosure, delinquent and indicate the number of days delinquent).

The Debt analysis section is divided into three sections: the amount of expenses which have been paid or advanced to retain the lien status; the total amount of the mortgage debt, including the amount of escrow that remains after any advances have been made; and the pending expenses which you are aware are coming due, such as pending unpaid real estate taxes, and indicate the date that any unpaid expenses are due.

Freddie Mac Loan Number	Seller/Servicer Loan Number	DDLPI		Current Interest rate		Seller/Servicer Number
⎜ ⎜ ⎜ ⎜ ⎜ ⎜ ⎜ ⎜						⎜ ⎜ ⎜ ⎜ ⎜ ⎜

Preparer’s Name	Date Prepared	Phone Number			Fax Number
		(	)		(	)

Seller/Servicer Name

E-mail Address

Address

City

State

MI Contact Name

Phone Number (

)

If Primary MI Coverage:

If Pool MI Coverage:

MI Company__________________________

MI Company____________________________

Certificate #____________________________

% of Coverage__________________________

Recommendation:

Short Payoff

Scheduled or

Estimated Foreclosure Sale Date

Deed in Lieu

Makewhole

Bankruptcy History:

Chapter________ Date Filed

Date Released

Monthly payment:

P& I

$ ________Hazard Insurance $ _______Other Escrowed Amt $ __________

Taxes $ ________Mortgage Insurance Premium $ ___________________

If loan is an ARM:

If loan is a GPM:

Interest Rate:______Effective Date:________

Interest Rate:______

Effective Date:________

P&I__________

Interest Rate:______

Effective Date:________

Property Condition:

Good

Fair

Property Insurance Claim $

MI Contribution $

Borrower Contribution $

Junior Lien Amount $

Lien Holder

Status of Lien

Superior Lien Amount $

Lien Holder

Status of Lien

Expenses

Mortgage Debt

Pending Unpaid Expenses

(describe/due date)

Appraisal/BPO

Unpaid Principal Balance

Next RE taxes due

Real Estate Taxes

Accrued Interest

Foreclosure

Positive Escrow Balance

Bankruptcy

Negative Escrow

Water/Sewer Pmts

(Net of advances)

Other (explain)

(B) Total Loan Amount

(A) Total Expenses

Total Debt (A + B)

Total

Before mailing, make sure you have signed and dated the form and attached appropriate documentation.

Volume 2	Single-Family Seller/Servicer Guide	Page F1126--3
Bulletin 2007-5		12/19/07

Question	Answer
Form Name	Ca Dmv Form Inf 1126
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	1126, va form 10 1126 fillable, financial borrower information form, form inf 1126

Ca Dmv Form Inf 1126 – Fill Out and Use This PDF

Ca Dmv Form Inf 1126 PDF Details

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Ca Dmv Form Inf 1126 – Fill Out and Use This PDF

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