Ocwen Loan Servicing, LLC
HELPING HOMEOWNERS IS WHAT WE DO! ™
WWW.OCWEN.COM
Loan Number:
Dear Customer,
Ocwen is committed to helping our customers facing financial difficulties. Since 2010, we have successfully helped over 100,000 people resolve their mortgage delinquency and avoid foreclosure.
And, as your loan servicer, we are committed to helping YOU. We offer a full range of mortgage assistance programs, and actively participate in the Obama Administration’s Home Affordable Mortgage Program (HAMP).
You may be able to lower your monthly payments – APPLY NOW to find out what options are available to you!
HOW TO APPLY
Find out what assistance you qualify for - simply complete the enclosed application material, and provide us with ALL requested financial documents.
The Basics – We need detail about your Financial Hardship, Income, Financial Assets, and Expenses.
Don’t worry, a Detailed Checklist and Instructions are provided on Page 3 – we want to make this as easy for you as possible.
How to Speed-Up the Process
oSend All Forms & Documents within 15 days of the date of this letter at ONE time and send All Pages of requested documents.
oThe faster you apply, the faster we reply.
oDon’t send originals! This way you have copies for your OWN records.
oBe sure to SIGN and DATE Forms!
For Fastest Processing – Please fax COMPLETE set of forms & documents to 1-407-737-6174, or EMAIL us at mod@ocwen.com For Regular Processing - Mail COMPLETE set of forms & documents & material to
Ocwen Loan Servicing, LLC
Attn: Home Retention Department
1661 Worthington Road, Suite 100
West Palm Beach, Florida 33409
AFTER YOU APPLY
We will conduct a thorough review of your financial situation, and first verify for your eligibility for the HAMP program. If HAMP doesn’t apply to your loan, we will work to match your situation to our own mortgage modification and assistance programs. While we consider your request, we will not initiate a new foreclosure action and we will not move ahead with the foreclosure sale on an active foreclosure as long as we have received all required documents and you have met the eligibility requirements. In the event that a foreclosure sale has been set and is within 30 days from this request for a HAMP application, the foreclosure sale will not be stopped and the sale will take place on the scheduled date unless a complete HAMP application with all required attachments and signatures is delivered to Ocwen no later than 7 business days prior to the scheduled foreclosure sale date. Requesting of a HAMP application via phone or via Ocwen’s website will not stop a scheduled foreclosure sale that is within 30 days of the application request.
Your application review takes 30 days on average – we will be sure to let you know when our review is complete.
Keep in mind that “no news is good news” in the 30 days after you apply. But, if we need any information or clarification, we will be sure to let you know right away. There is no need to call, unless you have specific questions or concerns. If you do have questions, call us toll-free, at
(800)746-2936. We are available Monday through Friday 08:00 am ET to 09:00 pm ET, Saturday 08:00 am ET to 05:00 pm ET and Sunday 12:00 pm ET to 09:00 pm ET.
Sincerely,
Ocwen Loan Servicing, LLC
HMPR Ver12/02
This communication is from a debt collector attempting to collect a debt; any information obtained will be used for that purpose. However, if the debt is in active
bankruptcy or has been discharged through bankruptcy, this communication is not intended as and does not constitute an attempt to collect a debt.
Loan Number:
AVOIDING FORECLOSURE - Mortgage Programs Are Available to Help
There are a variety of programs available to help you resolve your delinquency and keep your home. You may be eligible to refinance or modify your mortgage to make your payments and terms more manageable, for instance, lowering your monthly payment to make it more affordable. Or, if you have missed a few payments, you may qualify for a temporary (or permanent) solution to help you get your finances back on track. Depending on your circumstances, staying in your home may not be possible. However, a short sale or deed-in-lieu of foreclosure may be a better choice than foreclosure – see the table below for more information.
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Help |
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OPTION |
OVERVIEW |
BENEFIT |
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Reinstatement |
Pay the total amount you owe, in a lump sum |
Allows you to avoid foreclosure by bringing your mortgage |
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payment and by a specific date. This may follow a |
current if you can show you have funds that will become |
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forbearance plan as described below |
available at a specific date in the future |
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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 |
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time |
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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 |
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Modification |
Receive modified terms of your mortgage to make |
Permanently modifies your mortgage so that your payments |
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it more affordable or manageable after successfully |
or terms are more manageable as a permanent solution to a |
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making the reduced payment during a “trial |
long-term or permanent hardship |
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period” (i.e., completing a three month trial period |
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plan) |
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Deed-in-Lieu |
Transfer the ownership of your property to us |
Allows you to transition out of your home without going |
of Foreclosure |
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through foreclosure. In some cases, relocation assistance |
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may be available. This is useful when there are no other |
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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 |
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mortgage balance when you owe more on the |
through foreclosure. In some cases, relocation assistance |
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home than it is worth |
may be available. |
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Refinance |
Receive a new loan with lower interest rate or |
Makes your payment or terms more affordable |
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other favorable terms |
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We Want to Help
Take action and gain peace of mind and control of your situation. Complete and return this package to start the process of getting the help you need now.
Learn More
For more information, please see the Frequently Asked Questions (refer to Section 18) and other information provided with this letter. If you need assistance, contact our customer support team at (800) 746-2936.
Act Now
Please fax COMPLETE set of forms & documents to 1-407-737-6174, or EMAIL us at mod@ocwen.com
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Loan Number: |
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Detailed Checklist and Instructions |
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Step 1 |
□ Complete and sign the enclosed Request for Mortgage Assistance (RMA). Must be signed by all borrowers who are on |
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the mortgage (notarization is not required). Section 3 may not apply to everyone. |
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Borrower(s) information |
(Section 1) |
Occupancy and Rental Information |
(Section 3) |
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Property Information |
(Section 2) |
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Step 2 |
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Provide required Financial Information and Documentation |
(Section 4-8) |
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Provide the required income documentation as per the RMA form
You may also disclose any income from a household member who is not on the promissory note (non-borrower), such as a relative, spouse, domestic partner, or fiancé who occupies the property as a primary residence.
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Current Employment Information |
(Section 4) |
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Housing Expenses |
(Section 7b) |
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Income Information |
(Section 5) |
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Misc. Expenses |
(Section 7c) |
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Required income documentation |
(Section 6) |
Profit and Loss Statement |
(Section 8) |
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Combined Housing Assets |
(Section 7a) |
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Step 3 |
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Provide required Hardship Documentation. This will be used to verify your hardship. |
(Section 9) |
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Explain the reason for the Hardship
Provide the required income documentation as per the RMA form
Step 4 |
Provide authorization for Release of Information. |
(Section 10 and 11) |
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Provide Consent of Release of Information (For Co-Borrower’s only) |
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Provide Consent of Release of Information |
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Step 5 |
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Complete and sign a dated copy of the enclosed IRS Form 4506T or 4506T-EZ |
(Section 12) |
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For each borrower, please submit a signed, dated copy of IRS Form 4506T or 4506T-EZ (Short Form Request for Individual Tax Return Transcript)
Borrowers who filed their tax returns jointly may send in one IRS Form 4506T or 4506T-EZ signed and dated by both joint filers
Step 6 |
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Review the information provided to help you understand your options, responsibilities, and next steps: |
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Dodd Frank Certificate |
(Section 13) |
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Homeowner's Hotline |
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(Section 16) |
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Acknowledgement and Agreement |
(Section 14) |
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Government monitoring Information |
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(Section 17) |
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Beware of Foreclosure Rescue Scams |
(Section 15) |
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Frequent Asked Questions |
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(Section 18) |
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Step 7 |
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Gather and send completed documents—your Request for Mortgage Assistance (RMA) Form no later than 15 days |
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from the date of this letter. You must send in all required documentation listed in steps 1-6 above, and summarized below: |
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Borrower and Rental Information (attached) |
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Section 1 to 3 |
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Financial Information (attached) |
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Section 4 to 8 |
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Hardship Documentation (attached) |
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Section 9 |
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Release of Information Documentation (attached) |
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Section 10-11 |
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Form 4506T-EZ (attached) |
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Section 12 |
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Borrower’s Acknowledgement and Agreement (attached) |
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Section 14 |
IMPORTANT REMINDERS:
If you cannot provide the documentation within the time frame provided, have other types of income not specified in the Request for Mortgage Assistance(RMA), cannot locate some or all of the required documents, OR have any questions, please contact us at (800) 746-2936.
It is imperative for you to send COMPLETE details of income along with a signed 4506-T or 4506-T-EZ form.
Loan Number:
When you sign and date this form, you will make important certifications, representations and agreements, including certifying that all of
the information in this RMA is accurate and truthful.
HARDSHIP AFFIDAVIT
SECTION 1: BORROWER INFORMATION
Borrower |
Co-Borrower 1 |
Co-Borrower 2 |
Name
Social Security Number
Date of Birth
Home Phone Number with Area Code
Cell or Work Number with Area Code
Email ID
Property Address:-
Has any borrower filed for bankruptcy? |
Yes |
No |
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Yes |
No |
Filing Date(MM/DD/YYYY):__/__/____ |
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Is any borrower a service member? |
Bankruptcy case number: _____________ |
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Has your bankruptcy been discharged? |
Yes |
No |
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How many single family properties other than your principal residence do you and/or any co-borrower(s) own individually, jointly, or |
______________ |
with others? |
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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 |
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SECTION 2: PROPERTY INFORMATION |
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This section is required |
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I want to: |
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Keep the property |
Sell the Property |
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Do you have any condominium or homeowners association (HOA) fees? |
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Yes |
No |
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Total Monthly Amount of HOA fees: |
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$__________.____ |
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Who are fees paid to? (Name & Address): |
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_______________________________________________ |
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Are there other mortgage(s) or liens on the property? |
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Yes |
No |
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If "Yes", Servicer Name : _________________________________________________ Loan ID number: __________________
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: |
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No (Must also complete Section 3)
No (Answer the remaining questions)
1. |
What is the total monthly rent or mortgage payment on your current residence? |
$__________.____ |
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2. |
Have you been temporarily displaced (military, job transfer, etc) |
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Yes |
No |
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If Yes, describe: ____________________________________________________________________________ |
3. |
Do you intend to occupy this residence your primary home after your displacement ends? |
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Yes |
No |
4. |
Is the property being rented by someone? |
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Yes |
No |
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If yes: Lease start date (MM/YY) _____ / _____ Monthly Rent: $ |
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.00 |
(Provide a copy of the lease) |
Loan Number:
SECTION 3: OCCUPANCY AND RENTAL INFORMATION
Complete this section ONLY if you are requesting mortgage assistance with a property that is not your principal residence
Is this property used as a second home or seasonal home? |
Yes |
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No |
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If yes, skip the rest of section 3 |
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Is the property occupied? |
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If Yes, describe the occupant: |
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Rent-Paying tenant**. Lease start date _____ / ______ |
Monthly Rent: $ |
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.00 (Provide a copy of the lease) |
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MM/ YYYY
Occupied rent-free by a family member, parent, or guardian
Occupied rent-free by someone else
If No, what is the property status?
Vacant but available for rent**. (Describe efforts to rent property): ______________________________________
No Intent to rent
Condemned
Other (Describe): ___________________________________________________________________________
**IF PROPERTY IS RENTED OR AVAILABLE FOR RENT, PLEASE COMPLETE THE CERTIFICATION
BELOW
RENTAL PROPERTY CERTIFICATION
By checking this box and initialing below, I am requesting a mortgage modification under MHA with respect to the rental property described in this Section 3 and I hereby certify under penalty of perjury that each of the following statement is true and correct with respect to that property.
I intend to rent the property to a tenant or tenants for at least five years following the effective date of my mortgage
1.modification. I understand that the servicer, the U.S. Department of the Treasury, or their respective agents may ask me to provide evidence of my intention to rent the property during such time. I further understand that such evidence must show that I used reasonable efforts to rent the property to a tenant or tenants on a year-round basis, if the property is or becomes vacant during such five-year period.
Note: The term “reasonable efforts” includes, without limitation, advertising the property for rent in local newspapers, websites or other commonly used forms of written or electronic media, and/or engaging a real estate or other professional to assist in renting the property, in either case, at or below market rent.
2.The property is not my secondary residence and I do not intend to use the property as a secondary residence for at least five years following the effective date of my mortgage modification. I understand that if I do use the property as a secondary residence during such five-year period, my use of the property may be considered to be inconsistent with the certifications I have made herein.
Note: The term “secondary residence” includes, without limitation, a second home, vacation home or other type of residence that I personally use or occupy on a part-time, seasonal or other basis.
3.I do not own more than five (5) single-family homes (i.e., one-to-four unit properties) (exclusive of my principal residence).
Notwithstanding the foregoing certifications, I may at any time sell the property, occupy it as my principal residence, or permit my legal dependent, parent or grandparent to occupy it as their principal residence with no rent charged or collected, none of which will be considered to be inconsistent with the certifications made herein.
This certification is effective on the earlier of the date listed below or the date the RMA is received by your servicer.
Initials:
________________________ |
______________________ |
______________________ |
_____/_____/_________ |
Borrower |
Co-Borrower 1 |
Co-Borrower 2 |
Date (MM/DD/YYYY) |
Loan Number:
FINANCIAL INFORMATION FORM
SECTION 4: CURRENT EMPLOYMENT INFORMATION
•You should only complete requested employer information if you are currently working for employer.
•If you are not currently employed, indicate that you are currently “Unemployed” in the box provided.
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Borrower |
Co-Borrower 1 |
Co-Borrower 2 |
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Employed |
Employed |
Employed |
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Status of Employment |
Self Employed |
Self Employed |
Self Employed |
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Unemployed |
Unemployed |
Unemployed |
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If unemployed, are you currently receiving |
Yes |
No |
Yes |
No |
Yes |
No |
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unemployment benefits or received the benefits in the |
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last 6 months? |
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Hire Date |
___ / ___ / _____ |
___ / ___ / _____ |
___ / ___ /_____ |
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MM / DD |
/ YYYY |
MM / DD |
/ YYYY |
MM / DD / YYYY |
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How often are you paid? |
Weekly |
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Weekly |
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Weekly |
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Every other week |
Every other week |
Every other week |
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Monthly |
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Monthly |
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Monthly |
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Twice a month |
Twice a month |
Twice a month |
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SECTION 5: INCOME INFORMATION - RECEIVED PER MONTH
•All figures should represent the total amount received in a month for that income category.
•GROSS Pay – This is the amount of compensation received by an employee each month before any deductions are made for taxes, health benefits, 401k contributions, etc.
•NET Pay – This is the amount of compensation received by the employee each month after all deductions are made for taxes, health benefits, 401k contributions, etc. This would be the actual dollar amount on the pay check or amount deposited into the employee’s bank account, if direct deposit is used.
•Overtime Pay, Commissions and Bonuses – This should be based on a monthly average since the amount received can vary on a monthly basis. For example, if bonus income of $1,200 is received on an annual basis, the amount entered should be $100 ($1,200 divided by 12 months = $100)..
•Self Employed Borrowers – The total amount of income received per month should be tied back to the Profit and Loss Statement to be provided under the Document Checklist. A Profit and Loss Statement is a financial statement that summarizes the revenues, costs and expenses incurred during a specific period of time - usually a fiscal quarter or year.
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Borrower |
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Co-Borrower 1 |
Co-Borrower 2 |
GROSS Pay (Before all tax/ payroll deductions) |
$ |
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$ |
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$ |
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NET Pay (Take home pay) |
$ |
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$ |
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$ |
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Overtime Pay (Average per month and not included in above) |
$ |
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$ |
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$ |
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Commissions (Average per month and not included in above) |
$ |
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$ |
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$ |
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Bonus (Average per month and not included in above) |
$ |
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$ |
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$ |
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Tips (Average per month and not included in above) |
$ |
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$ |
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$ |
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Social Security |
$ |
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$ |
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$ |
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Disability / Death Benefits |
$ |
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$ |
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$ |
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Retirement/ Pension |
$ |
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$ |
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$ |
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Alimony/ Child Support* |
$ |
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$ |
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$ |
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Public Assistance / Workers’ Compensation |
$ |
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$ |
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$ |
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Food Stamps/Welfare |
$ |
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$ |
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$ |
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Unemployment Benefits |
$ |
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$ |
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$ |
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Monthly GROSS Rental Income from All Properties** |
$ |
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$ |
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$ |
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Other Income |
$ |
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$ |
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$ |
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Total (Gross Income) |
$ |
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$ |
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$ |
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*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.
**Include Rental income received from all properties you own EXCEPT a property for which you are seeking mortgage assistance.
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Loan Number: |
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SECTION 6: REQUIRED INCOME DOCUMENTATION |
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Income Sources for ANY Borrower(s) |
Documents required |
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Salary/Hourly wages income |
For Each Borrower who is salaried or hourly wage income, provide 2 most recent |
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paystubs that reflects at least 30 days of year- to-date income. |
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Self Employment income |
Provide your most recent signed and dated quarterly or year-to date profit and loss |
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statement. |
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Unemployment income |
Provide documentation showing the amount and frequency of the benefits, such as |
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letters, exhibits or benefits statement from the provider |
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Describe the type of income, how frequently you receive the income and third |
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Tips, commission, bonus, housing allowance or overtime. |
party documentation describing the |
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Income (e.g., employment contracts or printouts documenting tip income). |
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Food Stamps, social security, disability, death benefits, pension, public assistance, |
Provide documentation showing the amount and frequency of the benefits, such as |
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letters, exhibits, disability policy or benefits statement from the provider and |
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adoption assistance. |
receipt of payment (such as two most recent bank statements or deposit advices). |
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If rental income is not reported on Schedule E, provide a copy of the current lease |
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Income from rental properties that are not your principal residence. |
agreement with bank statements showing deposit of rent checks. Provide your most |
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recent Federal Tax return with all schedules, including Schedule E. |
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•Provide a copy of the divorce decree, separation agreement, or other written |
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legal agreement filed with the court that’ states the amount of the payments and |
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the period of time that you are entitled to receive them. AND |
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Alimony, child support, or separation maintenance payments. |
•Copies of your two most recent bank statements or deposit advices showing you |
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have received payment. |
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Notice: Alimony, child support or separate maintenance income need not be |
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disclosed if you do not choose to have it considered for repaying your |
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mortgage debt. |
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All borrowers must include a signed IRS Form 4506-T or 4506T-EZ regardless of income source(s).
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SECTION 7(a): COMBINED ASSETS |
SECTION 7(b): MONTHLY HOUSING |
SECTION 7(c): MONTHLY MISCELLANEOUS |
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EXPENSES |
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EXPENSES |
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Total Checking Account(s) |
$ |
Credit Cards/Installment Debt |
$ |
Health Insurance |
$ |
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(Total Min. Payment) |
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Total Savings Account(s) / |
$ |
Child support/ Alimony |
$ |
Medical Bills |
$ |
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Money Market |
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Stocks / Bonds / CD’s |
$ |
Car Payments |
$ |
Student Loan Payments |
$ |
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401k / Employee Stock |
$ |
Mortgage payments on other |
$ |
Religious / Charitable |
$ |
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Ownership Plan |
Properties |
Contributions |
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Car(s) (Estimated value less |
$ |
Gas |
$ |
Personal / Life Insurance |
$ |
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any loans outstanding) |
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Life Insurance (Whole Life / |
$ |
Food |
$ |
Club / Union Dues |
$ |
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Term) |
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IRA / Keogh Accounts |
$ |
Auto Insurance |
$ |
Cable TV / Entertainment |
$ |
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Other Assets |
$ |
Auto Maintenance |
$ |
Dry Cleaning / Clothing |
$ |
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Bank / Finance Loan Payments |
$ |
School Tuition |
$ |
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Other Expenses |
$ |
Other Expenses |
$ |
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Description of Other Assets: |
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Description of Other Expenses: |
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Description of Other Expenses: |
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Loan Number:
SECTION 8: PROFIT AND LOSS STATEMENT
Required ONLY for SELF-EMPLOYED BORROWERS
Submit the last three month’s statements, if you file this monthly OR one for last quarter.
This form is only necessary for individuals who are self-employed and need to report income from a privately owned business. This is not a substitute for providing federal tax returns documenting income, but should be provided in addition to the required tax forms and schedules.
Statement Year |
: ____________ Start date (MM/YYYY): _____/_____ End Date(MM/YYYY) : _____/_____ |
Business Name |
: _________________________________________________ |
Business Address : _________________________________________________
Business Owner(s) Other than the Borrower: __________________________ Partnership Share (%): ___________
Gross receipts / Income
Description (optional) |
Amount |
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$ |
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$ |
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$ |
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$ |
|
$ |
Total Income : |
$ |
Expenses* |
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Items |
Description (optional) |
Amount |
Advertising |
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$ |
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Car and truck expenses |
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$ |
Commissions and fees |
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$ |
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Contract labor |
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$ |
Employee benefit programs |
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$ |
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Insurance (other than health) |
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$ |
Interest paid (Mortgage or other) |
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$ |
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Legal and professional services |
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$ |
Office expense |
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$ |
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Pension and profit-sharing plans. |
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$ |
Rent or lease |
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$ |
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Vehicles, machinery, and equipment |
|
$ |
Repairs and maintenance |
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$ |
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Supplies |
|
$ |
Taxes and licenses |
|
$ |
Travel, meals, and entertainment |
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$ |
Wages (less employment credits) |
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$ |
Utilities |
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$ |
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Other expenses |
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$ |
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Total Expenses : |
$ |
*Do not include any depreciation as an expense. |
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NET PROFIT (Total Income minus Total Expenses) : $______________.___ |
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I acknowledge that the information provided on this document is complete and accurate as of the date below.
______________________ |
Date (MM/DD/YYYY) _____/____/______ |
______________________ |
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Loan Number:
SECTION 9: HARDSHIP DETAILS
I am (We are) requesting review for mortgage assistance.
I am (We are) having difficulty in making my monthly payments because of financial difficulties created by (check all that apply) :
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Date Hardship(s) began is _____/______(MM/YY) |
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My household income has declined. |
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My monthly debt payments are excessive. |
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My expenses have increased. |
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My cash reserves are insufficient to maintain my current |
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mortgage |
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Death of primary or secondary wage earner |
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Divorce/separation |
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Disability or serious injury of a borrower or family member |
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Medical expenses, surgeries, extended illness or disease |
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I am unemployed (if yes, please attach award letter/ bank statement) |
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Others: |
When did (will) your unemployment benefits start? ___/__/_____ |
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(MM/DD/YYYY) |
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When did (will) your unemployment benefits end? ___/__/_____ |
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(MM/DD/YYYY) |
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Explanation (continue on a separate sheet of paper if necessary): |
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SECTION 10: NON BORROWER CONSENT FORM
If you wish for income from individuals not listed on the mortgage to be considered in qualifying for a modification, Ocwen is required to review all non-borrower credit reports.
A non-borrower is defined as someone who lives at the property but is not on the original mortgage note (and may or may not be on the original security instrument), but whose income will be used to support the modified mortgage payment.
This form will authorize Ocwen to pull a credit report for occupancy verification as well as to support that this non-borrower income has not been utilized in a prior modification.
WITHOUT THIS AUTHORIZATION, NON-BORROWER INCOME CANNOT BE CONSIDERED AND MAY RESULT IN A DELAY IN
PROCESSING YOUR APPLICATION. |
|
Non-Borrower 1 |
Non-Borrower 2 |
________________________________________ |
________________________________________ |
Print Name |
|
Print Name |
|
______-____-_______ _______/_______/___________ |
______-____-_______ ______/______/_______ |
Social Security Number |
Date of Birth (MM/DD/YYYY) |
Social Security Number |
Date of Birth (MM/DD/YYYY) |
Acknowledgements (This must be completed but will only be used if being evaluated for the Government’s Making Home Affordable Program)
1.I understand that Ocwen will pull a current credit report on all non-borrowers whose income is submitted as part of the evaluation and relied upon to support the modified mortgage payment.
2.I confirm that my income was not utilized in a prior modification.
_________________________ |
____/___ /______ |
_______________________ |
____/___ /_____ |
Non-Borrower 1 Signature |
Date(MM/DD/YYYY) |
Non-Borrower 2 Signature |
Date(MM/DD/YYYY) |
Loan Number:
SECTION 11: CONSENT FOR RELEASE OF INFORMATION
Third-Party Authorization Form
Ocwen Loan Servicing, LLC |
<<LOAN_NUM>> |
Mortgage Lender/Servicer Name (“Servicer”) |
[Account][Loan] Number |
The undersigned Borrower and Co-Borrower (if any) (individually and collectively, “Borrower” or “I”), authorize the above Servicer and the following third parties
____________________________________________ |
____________________________________________ |
[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] |
_________________________________________________________________________________________________________
[Relationship of Other Third Party to Borrower and Co-Borrower]
(individually and collectively, “Third Party”) to obtain, share, release, discuss, and otherwise provide to and with each other public and non-public personal information contained in or related to the mortgage loan of the Borrower. This information may include (but is not limited to) the name, address, telephone number, social security number, credit score, credit report, income, government monitoring information, loss mitigation application status, account balances, program eligibility, and payment activity of the Borrower. I also understand and consent to the disclosure of my personal information and the terms of any agreements under the Making Home Affordable or Hardest Hit Fund Programs by Servicer or State HFA to the U.S. Department of the Treasury or their agents in connection with their responsibilities under the Emergency Economic Stabilization Act.
The Servicer will take reasonable steps to verify the identity of a Third Party, but has no responsibility or liability to verify the identity of such Third Party. The Servicer also has no responsibility or liability for what a Third Party does with such information.
This Third-Party Authorization is valid when signed by all borrowers and co-borrowers named on the mortgage and until the Servicer receives a written revocation signed by any borrower or co-borrower.
I UNDERSTAND AND AGREE WITH THE TERMS OF THIS THIRD-PARTY AUTHORIZATION:
__________________________________________ _________________________________________
Borrower Name SignatureCo-Borrower 1 Name Signature
__________________________________________ |
______/_____ /_________ |
Co-Borrower 2 Name |
Signature |
Date(MM/DD/YYYY) |
SECTION 12 : INSTRUCTION FOR IRS FORM 4506T-EZ (Next page)
SEND ONE COPY OF THE 4506T/4506T-EZ FORM TO THE IRS. SEND ANOTHER COPY OF THE 4506T/4506T-EZ WITH ALL OTHER
REQUIRED DOCUMENTS
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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 |
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original return.) |
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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 |
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STEP 3 |
Fax the signed form to the IRS at number below. |
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(Based on your state of residence, use the table below to determine the correct fax number.) |
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State
Florida, Georgia, North Carolina, South Carolina
Alabama, Kentucky, Louisiana, Mississippi, Tennessee, Texas, a foreign country, or A.P.O. or F.P.O. address
Alaska, Arizona, California, Colorado, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oklahoma, Oregon, South Dakota, Utah, Washington, Wisconsin, Wyoming
Arkansas, Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, Missouri, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia
Fax Number
1(770) 455-2335
1(512) 460-2272
1(559) 456-5876
1(816) 292-6102