What changes or events have occurred since your loan was originated that have
caused you difficulty in keeping up with your payments?
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
How did this impair your ability to afford your mortgage?
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
When did the change (s) or event(s)
happen?___________________________________________________________
_________________________________________________________________
Do you anticipate any improvement to your financial situation in the near future?
Yes _____ No _____
If yes, please explain:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
How much are you able to contribute to your loan as of today?______________
How much are you able to contribute towards your loan in the next 30 days?
_________________________________________________________________



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