Question	Answer
Form Name	Ocwen Foreclosures Form
Form Length	14 pages
Fillable?	Yes
Fillable fields	296
Avg. time to fill out	31 min 23 sec
Other names	ocwen loan modification application form, ocwen customers modification forms, form ocwen, ocwen loan servicing tax forms

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OPTION	OVERVIEW	BENEFIT

Reinstatement	Pay the total amount you owe, in a lump sum	Allows you to avoid foreclosure by bringing your mortgage
	payment and by a specific date. This may follow a	current if you can show you have funds that will become
	forbearance plan as described below	available at a specific date in the future

Repayment	Pay back your past-due payments together with	Allows you time to catch up on late payments without
Plan	your regular payments over an extended period of	having to come up with a lump sum
	time
Forbearance	Make reduced mortgage payments or no mortgage	Have time to improve your financial situation and get back
Plan	payments for a specific period of time	on your feet

Modification	Receive modified terms of your mortgage to make	Permanently modifies your mortgage so that your payments
	it more affordable or manageable after successfully	or terms are more manageable as a permanent solution to a
	making the reduced payment during a “trial	long-term or permanent hardship
	period” (i.e., completing a three month trial period
	plan)
Deed-in-Lieu	Transfer the ownership of your property to us	Allows you to transition out of your home without going
of Foreclosure		through foreclosure. In some cases, relocation assistance
		may be available. This is useful when there are no other
		liens on your property.
Short Sale	Sell your home and pay off a portion of your	Allows you to transition out of your home without going
	mortgage balance when you owe more on the	through foreclosure. In some cases, relocation assistance
	home than it is worth	may be available.

Refinance	Receive a new loan with lower interest rate or	Makes your payment or terms more affordable
	other favorable terms

				Loan Number:
			Detailed Checklist and Instructions

Step 1	□ Complete and sign the enclosed Request for Mortgage Assistance (RMA). Must be signed by all borrowers who are on
	the mortgage (notarization is not required). Section 3 may not apply to everyone.

		Borrower(s) information	(Section 1)	 Occupancy and Rental Information	(Section 3)
		Property Information	(Section 2)

Step 2		Provide required Financial Information and Documentation			(Section 4-8)

		Current Employment Information	(Section 4)		Housing Expenses	(Section 7b)
		Income Information	(Section 5)		Misc. Expenses	(Section 7c)
		Required income documentation	(Section 6)	 Profit and Loss Statement		(Section 8)
		Combined Housing Assets	(Section 7a)

Step 3		Provide required Hardship Documentation. This will be used to verify your hardship.				(Section 9)

Step 4	 Provide authorization for Release of Information.		(Section 10 and 11)

	 Provide Consent of Release of Information (For Co-Borrower’s only)
		Provide Consent of Release of Information

Step 5		Complete and sign a dated copy of the enclosed IRS Form 4506T or 4506T-EZ	(Section 12)

Step 6		Review the information provided to help you understand your options, responsibilities, and next steps:

		Dodd Frank Certificate	(Section 13)		Homeowner's Hotline		(Section 16)
		Acknowledgement and Agreement	(Section 14)		Government monitoring Information		(Section 17)
		Beware of Foreclosure Rescue Scams	(Section 15)		Frequent Asked Questions		(Section 18)

Step 7		Gather and send completed documents—your Request for Mortgage Assistance (RMA) Form no later than 15 days
	from the date of this letter. You must send in all required documentation listed in steps 1-6 above, and summarized below:

		Borrower and Rental Information (attached)				 Section 1 to 3
		Financial Information (attached)				 Section 4 to 8
		Hardship Documentation (attached)					Section 9
		Release of Information Documentation (attached)					Section 10-11
		Form 4506T-EZ (attached)					Section 12
		Borrower’s Acknowledgement and Agreement (attached)					Section 14

Has any borrower filed for bankruptcy?	 Yes	 No			 Yes	 No
Filing Date(MM/DD/YYYY):__/__/____			Is any borrower a service member?		 Yes	 No
Filing Date(MM/DD/YYYY):__/__/____	Bankruptcy case number: _____________
Has your bankruptcy been discharged?	 Yes	 No

How many single family properties other than your principal residence do you and/or any co-borrower(s) own individually, jointly, or					______________
with others?					______________
Have you ever received a HAMP modification on a loan where the property was the primary residence of one of the borrowers?					 Yes	 No
How many permanent HAMP modifications have any borrowers received on properties that were not their primary residence?					______________
Are you or any co-borrower currently in or being considered for a HAMP trial plan on a property other than your principal residence?					 Yes	 No
					 Yes	 No

	SECTION 2: PROPERTY INFORMATION
	This section is required
I want to:		 Keep the property		 Sell the Property

Do you have any condominium or homeowners association (HOA) fees?				 Yes	 No
Total Monthly Amount of HOA fees:		$__________.____
Who are fees paid to? (Name & Address):		_______________________________________________

Are there other mortgage(s) or liens on the property?				 Yes	 No

I consider the property my principal residence	 Yes	(Provide a recent utility bill)
Do you currently occupy the property?	 Yes	(Skip the remaining questions)
If you do not live in the home currently:

1.	What is the total monthly rent or mortgage payment on your current residence?	$__________.____
2.	Have you been temporarily displaced (military, job transfer, etc)		 Yes	 No
2.
	If Yes, describe: ____________________________________________________________________________
3.	Do you intend to occupy this residence your primary home after your displacement ends?		 Yes	 No
4.	Is the property being rented by someone?		 Yes	 No
	If yes: Lease start date (MM/YY) _____ / _____ Monthly Rent: $	.00	(Provide a copy of the lease)

Is this property used as a second home or seasonal home?	 Yes		 No
	If yes, skip the rest of section 3

Is the property occupied?
If Yes, describe the occupant:
 Rent-Paying tenant**. Lease start date _____ / ______	Monthly Rent: $	.00 (Provide a copy of the lease)

________________________	______________________	______________________	_____/_____/_________
Borrower	Co-Borrower 1	Co-Borrower 2	Date (MM/DD/YYYY)

	Borrower		Co-Borrower 1		Co-Borrower 2

	 Employed		 Employed		 Employed
Status of Employment	 Self Employed		 Self Employed		 Self Employed
	 Unemployed		 Unemployed		 Unemployed

If unemployed, are you currently receiving	 Yes	 No	 Yes	 No	 Yes	 No
unemployment benefits or received the benefits in the
last 6 months?

Hire Date	___ / ___ / _____		___ / ___ / _____		___ / ___ /_____
Hire Date	MM / DD	/ YYYY	MM / DD	/ YYYY	MM / DD / YYYY
	MM / DD	/ YYYY	MM / DD	/ YYYY	MM / DD / YYYY

How often are you paid?	 Weekly		 Weekly		 Weekly
	 Every other week		 Every other week		 Every other week
	 Monthly		 Monthly		 Monthly
	 Twice a month		 Twice a month		 Twice a month

		Borrower		Co-Borrower 1	Co-Borrower 2
GROSS Pay (Before all tax/ payroll deductions)	$		$		$

NET Pay (Take home pay)	$		$		$

Overtime Pay (Average per month and not included in above)	$		$		$

Commissions (Average per month and not included in above)	$		$		$

Bonus (Average per month and not included in above)	$		$		$

Tips (Average per month and not included in above)	$		$		$

Social Security	$		$		$

Disability / Death Benefits	$		$		$

Retirement/ Pension	$		$		$

Alimony/ Child Support*	$		$		$

Public Assistance / Workers’ Compensation	$		$		$

Food Stamps/Welfare	$		$		$

Unemployment Benefits	$		$		$

Monthly GROSS Rental Income from All Properties**	$		$		$

Other Income	$		$		$

Total (Gross Income)	$		$		$

		Loan Number:

	SECTION 6: REQUIRED INCOME DOCUMENTATION
	Income Sources for ANY Borrower(s)	Documents required

	Salary/Hourly wages income	For Each Borrower who is salaried or hourly wage income, provide 2 most recent
	Salary/Hourly wages income	paystubs that reflects at least 30 days of year- to-date income.


	Self Employment income	Provide your most recent signed and dated quarterly or year-to date profit and loss
	Self Employment income	statement.
		statement.

	Unemployment income	Provide documentation showing the amount and frequency of the benefits, such as
	Unemployment income	letters, exhibits or benefits statement from the provider
		letters, exhibits or benefits statement from the provider

		Describe the type of income, how frequently you receive the income and third
	Tips, commission, bonus, housing allowance or overtime.	party documentation describing the
		Income (e.g., employment contracts or printouts documenting tip income).

	Food Stamps, social security, disability, death benefits, pension, public assistance,	Provide documentation showing the amount and frequency of the benefits, such as
		letters, exhibits, disability policy or benefits statement from the provider and
	adoption assistance.	receipt of payment (such as two most recent bank statements or deposit advices).


		If rental income is not reported on Schedule E, provide a copy of the current lease
	Income from rental properties that are not your principal residence.	agreement with bank statements showing deposit of rent checks. Provide your most
		recent Federal Tax return with all schedules, including Schedule E.

		•Provide a copy of the divorce decree, separation agreement, or other written
		legal agreement filed with the court that’ states the amount of the payments and
		the period of time that you are entitled to receive them. AND
	Alimony, child support, or separation maintenance payments.	•Copies of your two most recent bank statements or deposit advices showing you
		have received payment.
		Notice: Alimony, child support or separate maintenance income need not be
		disclosed if you do not choose to have it considered for repaying your
		mortgage debt.

SECTION 7(a): COMBINED ASSETS		SECTION 7(b): MONTHLY HOUSING		SECTION 7(c): MONTHLY MISCELLANEOUS
SECTION 7(a): COMBINED ASSETS		EXPENSES		EXPENSES
		EXPENSES		EXPENSES

Total Checking Account(s)	$	Credit Cards/Installment Debt	$	Health Insurance	$
Total Checking Account(s)	$	(Total Min. Payment)	$	Health Insurance	$
		(Total Min. Payment)

Total Savings Account(s) /	$	Child support/ Alimony	$	Medical Bills	$
Money Market	$	Child support/ Alimony	$	Medical Bills	$
Money Market

Stocks / Bonds / CD’s	$	Car Payments	$	Student Loan Payments	$

401k / Employee Stock	$	Mortgage payments on other	$	Religious / Charitable	$
Ownership Plan	$	Properties	$	Contributions	$
Ownership Plan		Properties		Contributions

Car(s) (Estimated value less	$	Gas	$	Personal / Life Insurance	$
any loans outstanding)	$	Gas	$	Personal / Life Insurance	$
any loans outstanding)

Life Insurance (Whole Life /	$	Food	$	Club / Union Dues	$
Term)	$	Food	$	Club / Union Dues	$
Term)

IRA / Keogh Accounts	$	Auto Insurance	$	Cable TV / Entertainment	$

Other Assets	$	Auto Maintenance	$	Dry Cleaning / Clothing	$

		Bank / Finance Loan Payments	$	School Tuition	$

		Other Expenses	$	Other Expenses	$

Description of Other Assets:		Description of Other Expenses:		Description of Other Expenses:
Description of Other Assets:

Statement Year	: ____________ Start date (MM/YYYY): _____/_____ End Date(MM/YYYY) : _____/_____
Business Name	: _________________________________________________

Items	Description (optional)	Amount
Advertising		$

Car and truck expenses		$
Commissions and fees		$

Contract labor		$
Employee benefit programs		$

Insurance (other than health)		$
Interest paid (Mortgage or other)		$

Legal and professional services		$
Office expense		$

Pension and profit-sharing plans.		$
Rent or lease		$

Vehicles, machinery, and equipment		$
Repairs and maintenance		$

Supplies		$
Taxes and licenses		$
Travel, meals, and entertainment		$
Wages (less employment credits)		$
Utilities		$

Other expenses		$
	Total Expenses :	$
*Do not include any depreciation as an expense.
NET PROFIT (Total Income minus Total Expenses) : $______________.___

______________________	Date (MM/DD/YYYY) _____/____/______
______________________

		Date Hardship(s) began is _____/______(MM/YY)

 My household income has declined.		My monthly debt payments are excessive.

 My expenses have increased.		My cash reserves are insufficient to maintain my current
 My expenses have increased.		mortgage
		mortgage
 Death of primary or secondary wage earner		Divorce/separation

 Disability or serious injury of a borrower or family member		Medical expenses, surgeries, extended illness or disease

 I am unemployed (if yes, please attach award letter/ bank statement)		Others:
When did (will) your unemployment benefits start? ___/__/_____
(MM/DD/YYYY)
When did (will) your unemployment benefits end? ___/__/_____
(MM/DD/YYYY)
Explanation (continue on a separate sheet of paper if necessary):

________________________________________		________________________________________
Print Name		Print Name
______-____-_______ _______/_______/___________		______-____-_______ ______/______/_______
Social Security Number	Date of Birth (MM/DD/YYYY)	Social Security Number	Date of Birth (MM/DD/YYYY)

_________________________	____/___ /______	_______________________	____/___ /_____
Non-Borrower 1 Signature	Date(MM/DD/YYYY)	Non-Borrower 2 Signature	Date(MM/DD/YYYY)

Ocwen Loan Servicing, LLC	<<LOAN_NUM>>
Mortgage Lender/Servicer Name (“Servicer”)	[Account][Loan] Number

____________________________________________	____________________________________________
[Counseling Agency]	[Agency Contact Name and Phone Number]
____________________________________________	____________________________________________
[State HFA Entity]	[State HFA Contact Name and Phone Number]
____________________________________________	____________________________________________
[Other Third Party]	[Third Party Contact Name and Phone Number]

__________________________________________		______/_____ /_________
Co-Borrower 2 Name	Signature	Date(MM/DD/YYYY)

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	STEP 1	All borrowers must SIGN and DATE the form. (Signatures should be exactly in the same name as provided in your
	STEP 1	original return.)
		original return.)
	STEP 2	Fax the signed form to Ocwen at 1(407) 737-6174 OR Scan and email the signed form to Ocwen at mod@ocwen.com
	STEP 3	Fax the signed form to the IRS at number below.
	STEP 3	(Based on your state of residence, use the table below to determine the correct fax number.)