Nationstar Contributor Application – Fill Out and Use

The Contributor Package is to be used for any contributor who currently resides at your property address, is not a borrower on the loan, but who contributes to the household income and you are requesting their income to be used in the modification review process. In order to consider contributor income for foreclosure prevention options, this package and required supporting documentation must be returned.

I. Contributor Package

The Contributor Package will provide all the necessary information about the contributor that is required for us to evaluate you for assistance, including:

•Contributor Application

•Income/Expenses for contributor

•Contributor Form/Signature Page (must be signed and dated)

•Supporting Documentation

•IRS Form 4506-T or 4506T-EZ

Send Us the Information We Need to Help You

To document the contributions being received, please complete and submit the Contributor Package via the following methods:

By mail: Nationstar Mortgage LLC

Attn: Making Home Affordable Loan Modification Processing Unit P.O. Box 630268

Irving, TX 75063

By fax: 1-214-488-1993

If you require to speak to a Customer Relations Representative, please call the below number: By phone: 1-888-488-2432

Sincerely,

Nationstar Mortgage

INCOME & EXPENSES WORKSHEET

	All Contributor Monthly Income Sources
	(Documentation is required to support		Monthly Contributor Expenses/Debt		Contributor Assets
	contibution amount)
	Monthly Gross Wages	$	Other Mortgages***	$	Checking Account(s)	$
	Overtime	$	Other Home Insurance***	$	Checking Account(s)	$
			HOA/Condo Fees		Savings / Money Market	$
	Self-employed Income	$	(Documentation	$
					CDs	$
			Required)***
	Unemployment Income	$	Alimony, Child Support	$	Stocks/Bonds	$
			payments**		Other Cash on Hand	$
	Untaxed Social Security /		Credit Cards/ Installment		Other Real Estate	$
		$	Loan(s) (total minimum	$
	SSD					$
			payments per month)
						$
	Food Stamps/Welfare	$	Property Taxes***	$		$
	Taxable Social Security
	or Retirement Income	$	Car Payments	$		$
	Child Support /		Auto Insurance	$		$
	Alimony**	$	Utilities	$		$
	Tips, commissions,
	bonus, and overtime	$	Cable	$		$
	Gross Rents Received***	$		$		$
	Other_______________	$	Other_________________	$	Other________________	$
	Total(Gross Income)	$	Total Debt/Expenses	$	Total Assets:	$

** Notice: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered for repaying this loan.

*** Include rental income / expenses received from all properties you own EXCEPT a property for which you are contributing to in this Section.

	Contribution Amount:
	I contribute the following income to the expenses of the household and towards the mortgage payments each month and will
	continue to do so for the foreseeable future (Check one):
	________ 100% of my income		_________ Other Amount
Do you earn a wage?			Are you self-employed?
For each contributor who is a salaried employee or hourly wage earner,			For each contributor who receives self-employed income, provide your
provide the most recent pay stub(s) that reflects			most recent signed and dated quarterly or year-to date profit and loss
at least 30 days of year-to-date income.			statement.
	IRS Forms:
	Include a signed IRS Form 4506-T or 4506T-EZ
	“Other Earned Income” such as bonuses, commissions, housing allowance, tips, or overtime:
	Reliable third-party documentation describing the amount and nature of the income (e.g., employment contract or printouts
	documenting tip income).
	Social Security, disability or death benefits, pension, public assistance, or adoption assistance:
	Documentation showing the amount and frequency of the benefits, such as letters, exhibits, disability policy or benefits
	statement from the provider, and
	Documentation showing the receipt of payment, such as copies of the two most recent bank statements showing deposit
	amounts.
	Rental income: Provide your most recent Federal Tax return with all schedules, including Schedule E and
	a copy of the current lease agreement with either two (2) months bank statements or cancelled rent checks demonstrating
	receipt of rent.
	Investment income:
	Copies of the two most recent investment statements or bank statements supporting receipt of this income.
	Alimony, child support, or separation maintenance payments as qualifying income:*
	Copy of divorce decree, separation agreement, or other written legal agreement filed with a court, or court decree that states
	the amount of the alimony, child support, or separation maintenance payments and the period of time over which the
	payments will be received, and
	Copies of your two most recent bank statements or other third-party documents showing receipt of payment.
	*Notice: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it
	considered for repaying this loan.

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CONTRIBUTOR FORM

Contributor Acknowledgement and Agreement

1I certify that all of the information in this Contributor Package is truthful.

2I understand and acknowledge that the Servicer, the U.S. Department of the Treasury, the owner or guarantor of the mortgage loan, or their respective agents may investigate the accuracy of my statements, may require me to provide additional supporting documentation and that knowingly submitting false information may violate Federal and other applicable law.

3Although I am not a borrower on the loan for which modification assistance is requested, I currently occupy the property encumbered by the mortgage/deed of trust and agree that my income will be considered in the borrower’s request to obtain modification assistance.

4I authorize and give permission to the Servicer, the U.S. Department of the Treasury, and their respective agents, to pull my credit report to verify occupancy status.

5I certify that the residence I am contributing to is a habitable residential property that is not subject to a condemnation notice.

6I certify that I am willing to provide all requested documents and to respond to all Servicer communications in a timely manner. I understand that time is of the essence.

7I understand that the Servicer will use this information to evaluate the borrower for available relief options and foreclosure alternatives, but the Servicer is not obligated to offer assistance based solely on the representations in this document or other documentation submitted in connection with the request.

8I understand that the Servicer will collect and record personal information that I submit in this contributor package during the evaluation process, including, but not limited to, my name, address, telephone number, social security number, credit score, income, payment history, and information about my account balances and activity. I understand and consent to the Servicer’s disclosure of my personal information and the terms of any relief or foreclosure alternative that I receive to any investor, insurer, guarantor, or servicer that owns, insures, guarantees, or services my first lien or subordinate lien (if applicable) mortgage loan(s) or to any HUD-certified housing counselor.

9I consent to being contacted concerning this request for mortgage assistance at any e-mail address or cellular or mobile telephone number I have provided to the Servicer. This includes text messages and telephone calls to my cellular or mobile telephone.

The undersigned certifies under penalty of perjury that all statements in this document are true and correct.

_____________________________	_____________________	_______________________________ ___________
Contributor Signature	Social Security Number	Date of Birth	Date
_____________________________	_____________________	_______________________________ ___________

Contributor #2 Signature

Social Security Number

Date of Birth

Date