Foreclosure Loan Pre-Screening Questionnaire

(Confidential – For Evaluation Purposes Only)

First name

Last name

Phone

Address

Who currently occupies the property? (Owner, Tenant, Vacant)

Name of your primary mortgage company (servicer):

Current principal balance on the mortgage:

Reinstatement amount required to bring the mortgage current:

Monthly mortgage payment amount (PITI if known):

Current interest rate and loan type (fixed, ARM, FHA, VA, etc.):

When was the last mortgage payment made?

Scheduled foreclosure/auction date:

Do you currently have any payment plan, forbearance, or loan modification in progress with your lender?

Are there any second mortgages and/or HELOCs? (Please list type, lender, and approximate balance)

Are there any judgments? (Please list type, lender, and approximate balance)

Are there any HOA Fees? (list how much per month and is payment up to date?)

Are there any liens on the house? (Please list all that you are aware of)

Are property taxes current? If not, how much is owed?

If someone covered the reinstatement for you, how would you plan to repay it?

Any major repairs needed or outstanding code violations?