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Litton FinancialStatement

This document is a borrower financial statement form that collects information about a borrower's income, expenses, assets, and debts. The form requests information such as monthly income, additional income sources, asset values and types, liability types and payments, reasons for delinquency, and signatures authorizing the lender to verify the information provided. It collects contact information for the borrower and co-borrower as well as demographic information about household members.

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Zhen Wu
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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175 views1 page

Litton FinancialStatement

This document is a borrower financial statement form that collects information about a borrower's income, expenses, assets, and debts. The form requests information such as monthly income, additional income sources, asset values and types, liability types and payments, reasons for delinquency, and signatures authorizing the lender to verify the information provided. It collects contact information for the borrower and co-borrower as well as demographic information about household members.

Uploaded by

Zhen Wu
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

BORROWER FINANCIAL STATEMENT

Servicer Loan Number Property Address Is your home listed for sale? Borrower Name Mailing Address (#, Street, Apt.) Mailing Address (City, State ZIP Code) Total number of persons living at this address: Home Phone: Co-Borrower Name Mailing Address (#, Street, Apt.) Mailing Address (City, State ZIP Code) Total number of persons living at this address: Home Phone: Have you contacted credit counseling services? Yes No Number of dependents at this address: Work Phone: Number of cars you own? Number of dependents at this address: Work Phone: Social Security Number Yes No Agents Name: Social Security Number Agents Phone Number:

Monthly Income (Wages): $__________/mo. Additional income (not wages): $__________/mo.* Source: ____________________________ *Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered for approval of a loan workout. Asset Type Home Other Real Estate Checking Accounts Savings/Money Market IRA/Keogh Accounts Stocks, Bonds, CDs Other Investments Reason for delinquency: I/We agree that the financial information provided is an accurate statement of my/our financial status. I/We understand and acknowledge that any action taken by the lender of my/our mortgage loan on my/our behalf will be made in strict reliance on the financial information provided. My/Our signature(s) below grant(s) the holder of my/our mortgage the authority to confirm the information I/we have disclosed in this financial statement, to verify that it is accurate by ordering a credit report, and to contact my real estate agent and/or credit counseling service representative (if applicable). Estimated Value Liability Type Alimony/Child Support Dependent Care Rent Other Mortgage(s) Medical Expenses HOA Fees/Dues Other Payment/Month Balance Due

Submitted this __________________ day of ______________________________, _________________.

By: ___________________________________________________________ Date: ___________________________ Signature of Borrower By: ___________________________________________________________ Date: ___________________________ Signature of Co-Borrower Before mailing, make sure you have signed and dated the form and attached a copy of your most recent paystub and bank statements of your checking and/or savings account to it. If you are self-employed, attach a copy of your most recent federal tax returns.
1400.0129.060209174055

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