You are on page 1of 2

Branch Banking and Trust

BB&T Mortgage Loss Mitigation


Greenville, South Carolina

BORROWER FINANCIAL INFORMATION


LOAN # ________________________________
BORROWER CO-BORROWER
BORROWER'S NAME CO-BORROWER'S NAME

SOCIAL SECURITY # DATE OF BIRTH SOCIAL SECURITY # DATE OF BIRTH

MAILING ADDRESS: MAILING ADDRESS:

PROPERTY ADDRESS: PROPERTY ADDRESS:

EMAIL ADDRESS (if applicable): EMAIL ADDRESS (if applicable):

HOME PHONE # Other Contact # ( ) HOME PHONE # Other Contact # ( )


( ) ( )
Cell Relative Cell Relative
WORK PHONE # # of Dependents WORK PHONE # # of Dependents
( ) ( )

EMPLOYMENT
EMPLOYER-BORROWER HOW LONG? EMPLOYER-CO-BORROWER HOW LONG?

Occupation Occupation

Monthly Income -Borrower Monthly Income - Co-Borrower

Wages (Gross) $ Wages (Gross) $

Wages (Net) $ Wages (Net) $

Unemployment Income $ Unemployment Income $

Child Support/Alimony $ Child Support/Alimony $

Disability Income $ Disability Income $

Rents Received $ Rents Received $

Other (SSC or Investment Income) $ Other (SSC or Investment Income) $

Net Monthly Income $ Net Monthly Income $


Financial Information
Monthly Expenses
Assets
Payment Balance Due

Other Mortgages/Liens $ $ Type: Estimated Value

Auto Loan(s) $ $ Checking Account(s) # of Accounts $

Auto Expenses / Insurance $ $ Saving / Money Market # of Accounts $

Credit Cards / Installment Loan(s) $ $ Stocks / Bonds / CDs # of Accounts $


Health Insurance IRA / Keogh Accounts
(not deducted from payroll) $ $ Provide verification # of Accounts $
401K / ESPO Accounts
Medical (Explain) $ $ Provide verification # of Accounts $

Child Care / Support / Alimony $ $ Home # of Accounts $

Food Expenses $ $ Other Real Estate # of Accounts $

Water / Sewer / Utilities / Phone $ $ Cars # of Accounts $

Other (Explain) $ $ Other $

Total $ Total $
Property Information
Do you occupy the property? Borrower Intention Is it a Rental? Yes No Current Tenant?
Yes No Sell Home? Remain in Home? Monthly Rental Income? Yes No
Is the property listed for sale? Yes No Agent's Name:

If so, with whom? Agent's Phone:


Have you contacted your credit counseling services for help? Counseling Representative:

Yes No Counseling Rep's Phone:


Do you pay Real Estate Taxes? (outside of mortgage payments) Are the taxes current? Are there other liens on the property?

Yes No Yes No Yes No


Have you filed Bankruptcy? Filing Date: Attorney's Name:
CH 7 CH 13
Yes No Attorney's Phone:
"I agree as follows: My lender may discuss, obtain and share information about my mortgage and personal financial situation with third parties such as purchasers, real estate brokers,
insurers, financial institutions, creditors and credit bureaus. Discussions and negotiations of possible foreclosure alternative will not constitute a waiver of or defense to my lender's right to
commence or continue any foreclosure or other collection action, and an alternative to foreclosure will provide only if an agreement has been approved in writing by my lender. The information
herein is an accurate statement of my financial status."

Submitted this ____________________________________ day of ______________________________, _________

BEFORE MAILING, PLEASE MAKE SURE YOU HAVE


SIGNED AND DATED THE FORM AND HAVE
By ___________________________________________________________________ Date: ________________
Signature of Borrower ATTACHED THE NECESSARY SUPPORTING
DOCUMENTATION AS REQUESTED.

By ___________________________________________________________________ Date: ________________


Signature of Co-Borrower

Revised 04/09
Letter of Hardship

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

Loan Number: ______________________________ Date: ____________________________________

Borrower: __________________________________ Signature: ________________________________

Co Borrower: ______________________________ Signature: ________________________________

You might also like