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BB&T Loss ion Form

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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 # ( ) WORK PHONE # ( ) Other Contact # ( ) Cell # of Dependents R
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  # of Dependents# of DependentsHOW LONG?HOW LONG?$$$$$$$$$$$$$$$$PaymentBalance Due$$Estimated Value$$# of Accounts$$$# of Accounts$$$# of Accounts$$$# of Accounts$$$# of Accounts$$$# of Accounts$$$# of Accounts$$$# of Accounts$$$$$$Current Tenant?Yes NoCH 7 CH 13Filing Date: Submitted this ____________________________________ day of ______________________________, _________ By ___________________________________________________________________ Date: ________________ By ___________________________________________________________________ Date: ________________  Auto Loan(s)Monthly Income -BorrowerEMAIL ADDRESS (if applicable):EMAIL ADDRESS (if applicable):Other Contact # ( )Cell RelativeOther Contact # ( )Cell RelativeHOME PHONE #( )WORK PHONE #( )Monthly ExpensesDisability IncomeRents Received EMPLOYMENT 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 tocommence 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 informationherein is an accurate statement of my financial status. Financial InformationProperty Information OtherUnemployment IncomeChild Support/AlimonyWages (Gross)CarsPROPERTY ADDRESS:BORROWERCO-BORROWERPROPERTY ADDRESS:SOCIAL SECURITY #DATE OF BIRTHMAILING ADDRESS: MAILING ADDRESS:SOCIAL SECURITY #DATE OF BIRTH Signature of Borrower Checking Account(s)Saving / Money MarketHomeStocks / Bonds / CDsIRA / Keogh AccountsProvide verification401K / ESPO AccountsProvide verificationOther Real EstateCredit Cards / Installment Loan(s) BEFORE MAILING, PLEASE MAKE SURE YOU HAVESIGNED AND DATED THE FORM AND HAVEATTACHED THE NECESSARY SUPPORTINGDOCUMENTATION AS REQUESTED. Wages (Gross)Other (SSC or Investment Income)Rents ReceivedDisability IncomeChild Support/Alimony BB&T Mortgage Loss MitigationGreenville, South Carolina Branch Banking and Trust Signature of Co-Borrower HOME PHONE #( )WORK PHONE #( )Health Insurance(not deducted from payroll)Medical (Explain)Child Care / Support / AlimonyFood ExpensesWater / Sewer / Utilities / Phone BORROWER FINANCIAL INFORMATION LOAN # ________________________________  BORROWER'S NAMECO-BORROWER'S NAMEEMPLOYER-BORROWEREMPLOYER-CO-BORROWERTotal AssetsTotalType:OccupationMonthly Income - Co-BorrowerNet Monthly IncomeOther Mortgages/LiensAttorney's Name:Attorney's Phone:Agent's Name:Agent's Phone:Unemployment IncomeDo you occupy the property?Yes NoIs it a Rental? Yes NoMonthly Rental Income?Other (SSC or Investment Income)Net Monthly IncomeBorrower IntentionSell Home? Remain in Home?Auto Expenses / InsuranceOther (Explain)Wages (Net)Wages (Net)OccupationHave you filed Bankruptcy?Yes NoCounseling Representative:Counseling Rep's Phone:Is the property listed for sale? Yes NoIf so, with whom?Have you contacted your credit counseling services for help?Yes NoDo you pay Real Estate Taxes? (outside of mortgage payments)Yes NoAre the taxes current?Yes NoAre there other liens on the property?Yes No Revised 04/09    Letter of Hardship  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  _______________________________________________________________________________________________  Loan Number: ______________________________ Date: ____________________________________Borrower: __________________________________ Signature: ________________________________Co Borrower: ______________________________ Signature: ________________________________
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