Survey - COVID-19 (Internal)
Forbearance Extension Request (Internal Use)
Loan Number
*
Borrower
*
Email
*
Phone
*
Prefer to be contacted via email or phone?
*
Email
Phone
The property is currently:
*
A primary residence
A second home
An investment property
The property is
*
Owner occupied
Renter occupied
Vacant
I want to:
*
Keep the property
Sell the property
Transfer ownership of the property to my Servicer
Undecided
Is the property listed for sale?
*
Yes
No
Provide the listing agents name and phone number, or indicate “for sale by owner” if applicable
*
Has your COVID-19 related financial situation been resolved?
*
Yes
No
Are you able to pay the total amount due to bring your account current?
*
Yes
No
Are you able to make a payment(s) toward the past due amount?
*
Yes
No
Are you able to begin making your normal monthly payment amount (listed above), not including any arrearage?
*
Yes
No
Enter Amount
*
How have you been impacted by COVID-19? Select all that apply:
*
Partial Loss of Income (layoff, reduced hours, quarantine order, etc.)
Total Loss of Income (permanent job loss)
Long Term/Permanent-Disability
Short Term Disability
Serious Illness of Borrower/Co-Borrower/Dependent or Family Member
Death
Other
Other
Please provide a detailed explanation of your hardship
*
Anticipated length of continued hardship
*
1-3 months
3-6 months
Uknnown
Submit