Foreclosure Prevention Process

NHS of the Fox Valley

Elgin, IL 60120

Phone: (847) 695-0399 Fax: (847) 695-7011

Revised: 06/02/2015

Foreclosure Prevention Process

How to OBTAIN a one-to-one consultation with a HUD-certified counselor

please follow these simple steps:



Read the Foreclosure Prevention Package carefully, complete all applicable

forms and sign/date where indicated. It is critical that you provide the

required documents listed on the checklist.



Gather COPIES of all the documents for all borrowers involved with the

loan.

PLEASE NOTE ORIGINAL DOCUMENTS WILL NOT BE ACCEPTED

AND COPIES WILL NOT BE MADE.

How to SUBMIT the completed Foreclosure Prevention Package and all

supporting documents either by email or in person:

1. By email: send email to

[email protected]

with the attached

documents in PDF format only.

Revised 08/2013

NHS FORECLOSURE INTE RVENTION INTAKE FORM

BORROWER INFORMATION Date:

Name:

Date of Birth: SSN (Last 4): Military Status:

Phone: Phone: Email:

Race: Ethnicity:

Highest Education: Preferred Language: Disabled?:

Marital Status: Gender:

Number of People in Household: No. of Dependents:

Referral Source: Speak to Media:

CO-BORROWER Name:

Date of Birth: SSN (Last 4): Military Status:

Phone: Phone: Email:

Race: Ethnicity: Gender:

Highest Education: Preferred Language: Disabled?: PROPERTY INFORMATION

Property Address:

City: State: Zip:

Primary Residence: Vacant or Condemned: Current Property Value: Property Type:

Previously Received a Modification: Previous HAMP Modification:

Months Delinquent: Immanent Default:

Reason for Delinquency: ☐ Loss of Income ☐ Increase in Loan Payment

☐ High Debt Obligations ☐ Medical Issues ☐ Inability to Sell Property

☐ Business Failure ☐ Death of Homeowner/Family Member ☐ Marital Difficulties

Received Foreclosure Notice: Foreclosure Sale Scheduled: Sale Date:

Recent Bankruptcy: Bankruptcy Type: Discharge/Dismiss Date: In the Cook County Mediation Program: Title/Probate Issues: Owner of Additional Properties: Quantity of Additional Properties:

Were you offered assistance to modify your mortgage directly/telephone/mail/flyer/etc.:

Were you guaranteed a loan modification or asked to do any of the following:

☐ Pay a Fee ☐ Redirect Mortgage Payments ☐ Stop Making Loan Payments

☐ Sign a Contract ☐ Sign over the Title ☐ None

Revised 08/2013

NHS FORECLOSURE INTE RVENTION INTAKE FORM

FIRST MORTGAGE Lender/Servicer Name:

Loan No.: Mortgage Balance:

Loan Origination Date: Original Loan Amount:

Home Purchase Date: If Taxes and Insurance Escrowed how much per year on both:$ If Not Escrowed how much on Property Tax per Year:$ If Not Escrowed how much per Year on property insurance:$

Loan Type: Insurance Company Name:

Interest Rate: Interest Only:

Fixed or ARM: ARM Adjusted:

SECOND MORTGAGE

Lender/Servicer Name: Loan No.:

Mortgage Balance: HELOC (Home Equity):

Interest Rate: Fixed or ARM:

MONTHLY INCOME

Borrower Employer Name: Co-Borrower Employer Name:

Salary/Wages: $ Salary/Wages:$

Social Security Income:$ Social Security Income: $ Retirement/Pension:$ Retirement/Pension: $

Other:$ Other: $

MONTHLY EXPENSES (DO NOT INCLUDE INFORAMTION ON RENTAL PROPERTIES)

First Mortgage: Grocery:

Second Mortgage if any: Electricity:

Condo/HOA?: Gas:

Child Support/Alimony: Phone/Cable/Internet:

Bankruptcy: Transportation:

CREDIT CARDS AND LOANS (CAR, STUDENT, PAYDAY)

Lender Name Account Type Balance Monthly payment

LIQUID ASSETS

Returned signed forms to:

NHS of Chicago, Attn. Intake ● 1279 N Milwaukee Ave ● Chicago, IL 60622 Revised 09/13

Foreclosure Mitigation Counseling Agreement and Authorization

I, ______________________________________, hereby authorize Neighborhood Housing Services of Chicago, Inc. (NHS) to collect information regarding my financial history, credit score, demographics and any other information or data the NHS determines necessary to assist me with my delinquent mortgage.

Additionally, I acknowledge and agree to the following statements related to the counseling services provided by NHS: 1. I understand that NHS provides foreclosure mitigation counseling after which I will receive a written action

plan consisting of recommendations for handling my finances, possibly including referrals to other housing agencies as appropriate.

2. A counselor may answer questions and provide information, but not give legal advice. If I want legal advice, I will be referred for appropriate assistance.

3. I may be referred to other housing services offered by NHS or another agency or agencies as appropriate that may be able to assist with particular concerns that have been identified. I understand that I am not obligated to use any of the services offered to me.

4. I understand that NHS provides information and education on numerous loan products and housing programs, and I further understand that the housing counseling I receive from NHS in no way obligates me to choose any of these particular loan products or housing programs.

5. I understand that NHS receives Congressional and other funds through the National Foreclosure Mitigation Counseling (NFMC) program, HUD, the City of Chicago, NeighborWorks America and other governmental agencies and, as such, is required to share some of my personal information with NFMC, NeighborWorks America, the City of Chicago, HUD, other governmental agencies, and their program administrators or their agents for purposes of program monitoring, compliance and evaluation, and I hereby give NHS my permission to share this information with said organizations, administrators and agents.

6. I give permission for NFMC program administrators and/or their agents to follow-up with me for the purposes of program evaluation.

7. I acknowledge that I have received a copy of the NHS Privacy Policy.

8. I understand that NHS does not guarantee that services provided by NHS will (a) keep my home out of foreclosure, (b) secure from my lender/loan servicer an affordable/sustainable payment plan or work-out agreement or (c) enable me to obtain financing to either redeem my home from foreclosure or reinstate my delinquent loan.

9. I understand that by signing this agreement I will hold harmless NHS and its staff for the options NHS might offer, the advice that may be given, or for the outcome of the foreclosure mitigation counseling services provided by NHS.

Revised 07/15

Privacy Policy

Neighborhood Housing Services of Chicago, Inc. (NHS) is committed to assuring the privacy of individuals and/or families who have contacted us for assistance. We realize that the concerns you bring to us are highly personal in nature. We assure you that all information shared both orally and in writing will be managed within legal and ethical considerations. Your “nonpublic personal information,” such as your total debt information, income, living expenses and personal information concerning your financial circumstances, will be provided to creditors, program monitors, and others only with your authorization and signature on the Foreclosure Mitigation Counseling Agreement and Authorization. We also may use anonymous aggregated case file information for the purpose of evaluating our services, gathering valuable research information and designing future programs. We reserve the right to maintain your personal information that you have submitted either by email, fax, United States Postal Service or otherwise for at least five years. Participants in the Illinois Hardest Hit Fund Program will receive this Privacy Policy notification every year during this time frame and it will be included in your file.

Types of information that we gather about you

• Information we receive from you orally, on applications or other forms, such as your name, address, social security number, assets, and income;

• Information about your transactions with us, your creditors, or others, such as your account balance, payment history, parties to transactions and credit card usage; and

• Information we receive from a credit reporting agency, such as your credit history. You may opt-out of certain disclosures

1. You have the opportunity to “opt-out” of disclosures of your nonpublic personal information to third parties (such as your creditors), that is, direct us not to make those disclosures.

2. If you choose to “opt-out”, we will not be able to answer questions from your creditors. If at any time, you wish to change your decision with regard to your “opt-out”, you may call us at (773) 329-4111 and do so.

Release of your information to third parties

So long as you have not opted-out, we may disclose some or all of the information that we collect, as described above, to your creditors or third parties where we have determined that it would be helpful to you, would aid us in counseling you, or is a requirement of grant awards which make our services possible.

We may also disclose any nonpublic personal information about you or former customers to anyone as permitted by law (e.g., if we are compelled by legal process).

Within the organization, we restrict access to nonpublic personal information about you to those employees who need to know that information to provide services to you. We maintain physical, electronic and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

Agency Relationships

NHS of the Fox Valley

Elgin, IL 60120

Phone: (847) 695-0399 Fax: (847) 695-7011

Revised: 06/08/2015 Page 1 of 1

Foreclosure Prevention Checklist

Required Documentation

NHS is a HUD-certified non-profit counseling agency that is able to help homeowners struggling to make their mortgage payments. There are many options available to prevent foreclosure and we are here to help guide you through the application process.

To receive an individualized consultation gather copies of the following documents listed below for ALL borrower(s) on the loan.

Required

Documents

Explanation

NHS STAFF ONLY

(Documents

submitted)

Paycheck

Stubs/Profit and Loss/SSI; etc.

Proof of 30 most current days; last quarter for profit and loss and most recent award letter if SSI is received

Yes/No

Mortgage Statements Most recently issued within 30 days and for

all mortgages on this property

Yes/No

even blank pages. For all savings/ checking accounts

Yes/No

Federal Tax Returns,

W2s and/or 1099s Submit 2 recent years of your US Federal Income Tax Returns, and W2, including all schedules

* Sign and date page 1 or 2 of the Form 1040

Do not include the State Tax Return

Yes/No

Hardship Letter  Clarify the hardship, date of hardship, and if the hardship has been resolved  Must be signed and dated by all

borrowers

 Be concise and clear, can be handwritten or typed