Loan Modification Survey

Introduction

This quick questionnaire will help us determine how likely you are to qualify for local and federal assistance. Plese be sure to complete each question before moving on. Click Next to continue.

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Step 1 of 12

Personal & Contact Information

Answer these questions to learn whether you may qualify for a modification of your home loan. We will not ask for any personal information. We will never sell or share your information.

Including your contact information is optional.

Your name:

Your e-mail:

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Step 2 of 12

Which state do you live in?

Both interest rates and loan regulations vary greatly from state to state. We will use this information to ensure you are informed about government programs available at both the federal and state levels.

State: Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

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Step 3 of 12

Did you close your loan on or before January 1, 2008

To qualify for the specific program available through HERA, you must have closed your escrow before January 1, 2008. However, while you may not qualify for the HERA Hope for Homeowners program, you may qualify for other programs.

Yes
No
I don't know.

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Step 4 of 12

Is the loan you hope to change for your primary residence?

To qualify for the specific program available through HERA, the loan that you wish to change must be for the residence that you live in.

Yes
No

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Step 5 of 12

What is your current employment status?

To qualify for the specific program available through HERA, you must have an income. However, while you may not qualify for the HERA Hope for Homeowners program, you may qualify for other programs.

Employed full-time
Employed part-time
Self-Employed
Unemployed

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Step 6 of 12

Can you verify your employment and income with the following documents?

To qualify for the specific program available through HERA, you must be able to provide full financial documentation. In other words, you must be able to provide ALL the documents listed below. However, while you may not qualify for the HERA Hope for Homeowners program, you may qualify for other programs.

• Current mortgage statements for each loan
• Last two years tax returns, including your W2 forms
• Last two months all bank statements
• Last two paycheck stubs
• Bank notes for each loan
• Note: If you are self-employed you will need to provide your Schedule C for the past three years.

Yes
No

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Step 7 of 12

Have you been convicted of fraud within the last 10 years?

To qualify for the specific program available through HERA, you may not have been convicted of fraud within the last 10 years. However, while you may not qualify for the HERA Hope for Homeowners program, there may be other options for you to consider.

Yes
No

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Step 8 of 12

Have you stopped making mortgage payments due to economic hardship?

Banks and lenders will give priority consideration to loan modification requests based on urgency. In other words, if you have already stopped making payments, it is very important that you contact your bank immediately.

Yes, I have stopped
No, but I'm planning to stop
No, but I'm considering stopping
No, I'm continuing to make mortgage payments

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Step 9 of 12

Why are you having trouble making your mortgage payments?

The HERA Hope for Homeowners loan modification legislation was passed by Congress to help homeowners who are struggling to meet their mortgage obligations due to economic hardship. This means that your financial status has changed, and you are experiencing difficulty in continuing to make your home loan payment as a result of the change.

Drop in household incoming
Increase in mortgage payment
Both
Other Reason

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Step 10 of 12

Have you ever defaulted on a home loan?

To qualify for the specific program available through HERA, you may not have defaulted on any home loan at any time. However, while you may not qualify for the HERA Hope for Homeowners program, there may be other options for you to consider.

Yes
No

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Step 11 of 12

Do you own a second home?

To qualify for the specific program available through HERA, you must disclose your full financial situation, including whether you own another home. Should you own a second home, you may qualify for the HERA Hope for Homeowners program, though you must disclose all the details of your financial status in the modification request.

Yes
No

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Step 12 of 12

Do you own real estate investments?

To qualify for the specific program available through HERA, you must disclose your full financial situation, including whether you own any real estate investments. Should you own real estate investments, you may qualify for the HERA Hope for Homeowners program, though you must disclose all the details of your financial status in the modification request.

Yes
No

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You have successfully completed the Loan Modification Survey.

Please confirm your contact information - including your contact information is optional. However, if you fill in this information we will keep you informed regarding federal program changes for home loans by sending you the HomeownerHope.org newsletter.

Your name:

Your e-mail:

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