Assistance

To request assistance, please complete and submit this financial application, along with the required documentation. We will contact you within five business days to acknowledge receipt and let you know if you need to send additional information or documents.

We will use the information you provide to help us identify the assistance you may be eligible to receive.

If you need help completing this application, please contact us and we can guide you through the details.

If you are having mortgage payment challenges, HUD-approved housing counseling agencies can provide foreclosure prevention information. You may also contact one of the following federal government agencies:
• The U.S. Department of Housing and Urban Development (HUD) at (800) 569-4287 or www.hud.gov/counseling
• The Consumer Financial Protection Bureau (CFPB) at (855) 411-2372 or www.consumerfinance.gov/mortgagehelp

If you need assistance with translation or other language assistance, HUD-approved housing counseling agencies may be able to assist you. These services are provided without charge but are not currently available on our website.

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Please complete the following information:

All fields indicated with a red * are required for submission.

Loan Number *

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Primary Borrower Information

Borrower Name *

Borrower Mailing Address (if different than property)

Address Line 1

Address Line 2

City

-Please Select-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Borrower Email *

Borrower Preferred Phone *

Borrower Phone Type

• Cell
• Home
• Work
• Other

Borrower Alternate Phone Number

Borrower Alt Phone Type

• Cell
• Home
• Work
• Other

Borrower Social Security Number (last 4 digits) *

Borrower Date of Birth

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Borrower # of Dependents (excluding self)

Has the borrower filed Bankruptcy?-Please Select-NoYes, Chapter 7Yes, Chapter 13

If yes, please provide documentation.

Bankruptcy Filing Date

Has the bankruptcy been discharged?

• Yes
• No

Bankruptcy File Upload

Click or drag a file to this area to upload.

Please attach any bankruptcy documentation here.

Coborrower Information

Coborrower Name

Coborrower Mailing Address (if different that mortgaged property)

Address Line 1

Address Line 2

City

-Please Select-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Coborrower Email

Coborrower Preferred Phone

Coborrower Phone Type

• Cell
• Home
• Work
• Other

Coborrower Alternate Phone Number

Coborrower Alt Phone Type

• Cell
• Home
• Work
• Other

Coborrower Social Security Number (last 4 digits)

Coborrower Date of Birth

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Coborrower # of Dependents (excluding self)

Has the coborrower filed Bankruptcy? -Please Select-NoYes, Chapter 7Yes, Chapter 13

If yes, please provide documentation.

Is either borrower on active duty with the military (including the National Guard and Reserves), the dependent of a borrower on active duty, or the surviving spouse of a member of the military who was on active duty at the time of death? *

• Yes
• No

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Property Information and Condition

Property Address *

Address Line 1

Address Line 2

City

-Please Select-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Property Type-Please Select-Single Family HomeCondominium/Planned Unit Development2-Family3-Family4-Family

The property is currently

• a primary residence
• a second home
• an investment property

The property is (select all that apply)

• owner occupied
• renter occupied
• vacant

Tenant Documentation

Click or drag files to this area to upload. You can upload up to 4 files.

Please supply a copy of any and all tenant leases or written statement of rental agreements

Please describe the condition of your property.

Is the property listed for sale?-Please Select-YesNo

If yes, provide the listing agent’s name and phone number—or indicate “for sale by owner” if applicable

Mccue Mortgage highly recommends working with an experienced real estate agent to assist with valuing your property and advising you on disposition options for your home. Please contact us if you would like a recommendation for an experienced real estate agent that can help you.

Property Intention: I/We want to: *-Please Select-Keep the propertySell the propertyTransfer ownership of the property to my servicerAssume the propertyUndecided

Is the property subject to condominium or homeowners’ association (HOA) fees?-Please Select-YesNo

If yes, indicate monthly dues:

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Hardship Information

The hardship causing mortgage payment challenges began on approximately

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The hardship is believed to be

• Short-term (up to 6 months)
• Long-term or permanent (greater than 6 months)
• Resolved as of

Resolved Hardship Date

TYPE OF HARDSHIP (CHECK ALL THAT APPLY)

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Hardship

• Unemployment
• Reduction in income: a hardship that has caused a decrease in your income due to circumstances outside your control (e.g., elimination of overtime, reduction in regular working hours, a reduction in base pay)
• Increase in housing-related expenses: a hardship that has caused an increase in your housing expenses due to circumstances outside your control (e.g., uninsured losses, increased property taxes, HOA special assessment)
• Disaster (natural or man-made) impacting the property or borrower's place of employment
• Long-term or permanent disability, or serious illness of a borrower/co-borrower or dependent family member
• Divorce or legal separation
• Separation of borrowers unrelated by marriage, civil union, or similar domestic partnership under applicable law
• Death of borrower or death of either the primary or secondary wage earner
• Distant employment transfer/relocation
• Other – hardship that is not covered above:

Other hardship description

Based on your response, please upload the following hardship documentation:

Signed written explanation describing the details of the hardship and any relevant documentation

Click or drag a file to this area to upload.

Written statement from the borrower, or other documentation verifying disability or illness

Click or drag a file to this area to upload.

Note: Detailed medical information is not required, and information from a medical provider is not required

Final divorce decree or final separation agreement OR Recorded quitclaim deed

Click or drag a file to this area to upload.

Recorded quitclaim deed OR Legally binding agreement evidencing that the nonoccupying borrower or co-borrower has relinquished all rights to the property

Click or drag a file to this area to upload.

Death certificate OR Obituary or newspaper article reporting the death

Click or drag a file to this area to upload.

For active duty service members: Permanent Change of Station (PCS) orders or letter showing transfer.

Click or drag a file to this area to upload.

For employment transfers/new employment: Copy of signed offer letter or notice from employer showing transfer to a new location or written explanation if employer documentation not applicable, AND Documentation that reflects the amount of any relocation assistance provided (not required for those with PCS orders)

Click or drag a file to this area to upload.

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Employment and Monthly Income

Please note all sources of income that you wish to have considered for repaying this loan.

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Income: Check all that apply

• Gross (pre-tax) wages or salaries
• "Other Earned Income" such as bonus, commissions, housing allowance, tips, or overtime
• Self-employment income
• Taxable Social Security, pension, disability, death benefits, adoption assistance, housing allowance, and other public assistance
• Non-taxable Social Security or disability income
• Rental income (rents received, less expenses other than mortgage expense)
• Investment or insurance income
• Alimony, child support or separation maintenance payments as qualifiing income*
• Other sources of income not listed above

Please describe other income sources.

Based on your response, please upload the following income documentation:

Two most recent pay stubs that reflect at least 30 days of year-to-date earnings for each borrower.

Click or drag files to this area to upload. You can upload up to 3 files.

For other earned income, provide reliable third-party documentation describing the amount and nature of the income (e.g. employment contract or printouts documenting tip income)

For each borrower who receives self-employed income, include a complete, signed individual federal income tax return and, as applicable, the business tax return; AND either the most recent signed and dated quarterly or year-to-date profit/loss statement that reflects activity for the most recent three months; OR copies of bank statements for the business account for the last two months evidencing continuation of business activity

Click or drag files to this area to upload. You can upload up to 3 files.

Two most recent bank statements showing deposit amounts AND Award letters or other documentation showing the amount and frequency of the benefits

Click or drag files to this area to upload. You can upload up to 3 files.

Two most recent bank statements showing deposit amounts AND Award letters or other documentation showing the amount and frequency of the benefits

Click or drag files to this area to upload. You can upload up to 3 files.

Copy of your most recent federal tax return with all schedules, including Schedule E- Supplemental Income & Loss. Rental Income for qualifying purposes will be 75% of the gross rent reduced by the monthly debt service on the property if applicable OR If rental income is not reported on Schedule E, provide a copy of the current lease agreement with either bank statements or cancelled rent checks demonstrating receipt of rent.

Click or drag files to this area to upload. You can upload up to 3 files.

Most recent investment statements (should include 60 days of history)

Click or drag files to this area to upload. You can upload up to 3 files.

Two most recent bank statements showing receipt of income OR Other documentation showing the amount and frequency of the income

Click or drag files to this area to upload. You can upload up to 3 files.

Copy of divorce decree, separation agreement, or other written legal agreement filed with a court, or court decree that states the amount of the alimony, child support, or separation maintenance payments and the period of time over which the payments will be received, AND Copies of your two most recent bank statements or other third party documents showing receipt of payments.

Click or drag files to this area to upload. You can upload up to 3 files.

*Note: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered for repaying this loan.

A tax return copy is required for all borrowers regardless of the source of income. Provide a copy of the most recent tax return for each borrower. If filing jointly, provide the joint return, including all complete schedules. If you have not filed the most recent year’s tax return, provide a copy of the most recent year for which filing has been completed.

Click or drag files to this area to upload. You can upload up to 3 files.

If you cannot locate your most recent tax return, you may request a free transcript from the IRS at https://www.irs.gov/individuals/get-transcript or by calling 1-800-908-9946.

Enter Employment Information and Monthly Income Amounts

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Borrower

Are you currently employed?-Please Select-YesYes, Self EmployedNo

Employer's Name

Employer's Address

Address Line 1

Address Line 2

City

-Please Select-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Position Description/Title

Work Hours per week (e.g. 37.5)

Length of Employment: (e.g. 3y 2m)

Monthly Gross Wages

Base wages beforetaxes

Overtime Wages

Unemployment Income

Tips, Commissions, Bonuses or Self-Employed Income

Child Support

Child support income need not be revealed if you do not choose to have it considered for repaying this loan.

Alimony

Alimony income need not be revealed if you do not choose to have it considered for repaying this loan.

SNAP/Food Stamps

Welfare/TANF

Non-taxable Social Security/SSDI

Taxable Social Security benefits or other monthly income from annuities or retirement plans

Rental Income

Other Income

Coborrower

Are you currently employed?-Please Select-YesYes, Self EmployedNo

Employer's Name

Employer's Address

Address Line 1

Address Line 2

City

-Please Select-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Position Description/Title

Work Hours per week (e.g. 37.5)

Length of Employment: (e.g. 3y 2m)

Monthly Gross Wages

Base wages beforetaxes

Overtime Wages

Unemployment Income (copy)

Tips, Commissions, Bonuses or Self-Employed Income

Child Support

Child support income need not be revealed if you do not choose to have it considered for repaying this loan.

Alimony

Alimony income need not be revealed if you do not choose to have it considered for repaying this loan.

SNAP/Food Stamps

Welfare/TANF

Non-taxable Social Security/SSDI

Taxable Social Security benefits or other monthly income from annuities or retirement plans

Rental Income

Other Income

Contributing Household Member

Are you currently employed?-Please Select-YesYes, Self EmployedNo

Employer's Name

Employer's Address

Address Line 1

Address Line 2

City

-Please Select-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Position Description/Title

Work Hours per week (e.g. 37.5)

Length of Employment: (e.g. 3y 2m)

Monthly Gross Wages

Base wages beforetaxes

Overtime Wages

Unemployment Income

Tips, Commissions, Bonuses or Self-Employed Income

Child Support

Child support income need not be revealed if you do not choose to have it considered for repaying this loan.

Alimony

Alimony income need not be revealed if you do not choose to have it considered for repaying this loan.

SNAP/Food Stamps

Welfare/TANF

Non-taxable Social Security/SSDI

Taxable Social Security benefits or other monthly income from annuities or retirement plans

Rental Income

Other Income

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Monthly Housing Expenses

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First Mortgage Monthly Payment or Rent Expense

Second Mortgage Monthly Payment

Down Payment Assistance Loan Monthly Payment

Condo or Homeowner's Association (HOA) Monthly Fees

Please include special assessments if applicable

Condo Management Company, Address & Phone:

First Mortgage Balance Due

Second Mortgage Balance Due

Down Payment Assistance Loan Balance Due

Condo or Homeowner's Association (HOA) Balance Due

First Mortgage Months Delinquent

Second Mortgage Months Delinquent

Down Payment Assistance Loan Months Delinquent

Condo or Homeowner's Association (HOA) Months Deliquent

Other Loan(s)/Lien(s) on Property

• No
• Yes

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Other Loan/Lien Description

Other Loan(s)/Lien(s) Amount Due

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Other Monthly Expenses

Please enter monthly totals for the following expenses:

Heating/Cooling

Electric/Gas/Other

Water/Sewer

Phone/Cable/Internet

Food

Child Care

Alimony - Monthly Payment

Date Alimony Payments Terminate

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Child Support - Monthly Payment

Date Child Support Payments Terminate

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Other

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Assets

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Checking Account

Savings Account

Retirement Accounts (401K, IRA, Etc.)

Stocks, Bonds, Money Market

Checking Account Owner-Please Select-BorrowerCoborrowerJoint

Savings Account Owner-Please Select-BorrowerCoborrowerJoint

Retirement Account Owner-Please Select-BorrowerCoborrowerJoint

Stocks, etc Account Owner-Please Select-BorrowerCoborrowerJoint

Checking Account Balance

Savings Account Balance

Retirement Account Balance

Stocks, etc Account Balance

Checking Company/Depository Institution

Savings Company/Depository Institution

Retirement Company/Depository Institution

Stocks, etc Company/Depository Institution

Checking Account

Click or drag files to this area to upload. You can upload up to 5 files.

For each borrower, copies of your last two statements for all checking accounts. An online printout is acceptable as long as the web address for your bank or credit union is either at the top or bottom of the printed page, and we can verify the ownership of that account from the printouts supplied.

Savings Account

Click or drag files to this area to upload. You can upload up to 5 files.

For each borrower, copies of your last two statements for all savings accounts. An online printout is acceptable as long as the web address for your bank or credit union is either at the top or bottom of the printed page, and we can verify the ownership of that account from the printouts supplied.

Investment Accounts

Click or drag files to this area to upload. You can upload up to 5 files.

For each borrower, copies of your last two statements for all investment accounts. An online printout is acceptable as long as the web address for your bank or credit union is either at the top or bottom of the printed page, and we can verify the ownership of that account from the printouts supplied.

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Third Party Authorization

We/I give McCue Mortgage Company my permission to discuss our/my mortgage with the following persons that are not on the Note or Mortgage. You are authorized to discuss all aspects of my application  or mortgage assistance including:
• Loan status
• Account balance
• Legal account status (which may include use of terms such as "current", "delinquent", "referred to
foreclosure", "in foreclosure", "in mediation", "in bankruptcy", etc.)
• An indication of whether our/my request for assistance is complete or incomplete
• An indication of whether our/my request qualifies us/me for mortgage assistance or foreclosure prevention options
• Any information we/I have disclosed or provided in conjunction with our/my request for mortgage assistance

We/I have supplied a list of people with whom McCue may share any of the above information. We/I include the listed person's relationship where applicable (spouse, family member, real estate agent, mortgage or credit counselor, debt negotiator, attorney, etc.).

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Name

Name 2

Name 3

Relationship

Relationship 2

Relationship 3

Phone

Phone 2

Phone 3

Email

Email 2

Email 3

TPA

• By checking this box, I am/we are authorizing McCue Mortgage to share information with the above listed person(s) and agree that this represents my/our full consent in place of my/our signatures(s).

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Consent and Certification Statement

Your acknowledgement of the following information is required to complete your submission. When you accept the terms below, you will make important certifications, representations and agreements, including certifying that all information provided is accurate and truthful and any identified hardship has contributed to your submission of this request for mortgage relief. Please read the following consent and certification terms carefully! *

• I certify and acknowledge that all of the information in this Mortgage Assistance Application is truthful, and the hardship I identified contributed to my need for mortgage relief. I understand and acknowledge that the Servicer, owner and/or guarantor of my mortgage, or their agent(s) may investigate the accuracy of my statements, may require me to provide additional supporting documentation, and that knowingly submitting false information may violate Federal and other applicable law.

Consent 2 *

• I agree to provide my servicer with all required documents, including any additional supporting documentation as requested, and will respond in a timely manner to all servicer or authorized third party* communications.

Consent 3 *

• I understand that if I have intentionally defaulted on my existing mortgage, engaged in fraud, or misrepresented any fact(s) in connection with this request for mortgage relief or if I do not provide all required documentation, the Servicer may cancel any mortgage relief granted and may pursue foreclosure on my home and/or pursue any available legal remedies.

Consent 4 *

• I acknowledge and agree that my servicer is not obligated to offer me assistance based solely on the representations in this document or other documentation submitted in connection with my request.

Consent 5 *

• I consent to the servicer or authorized third party* obtaining a current credit report for the borrower and co-borrower. I understand the Servicer may obtain a current credit report on all borrowers obligated on the loan, to investigate each borrower's eligibility for assistance and the accuracy of my statements and any documentation that I provide in connection with my request for assistance. This may include, without limitation, multiple credit reports, and may be assembled and used at any point during the application process to assess each borrower's eligibility thereafter.

Consent 6 *

• I consent to the disclosure by my servicer, authorized third party,* or any investor/guarantor of my mortgage loan(s), of any personal information collected during the mortgage assistance process and of any information about any relief I receive, to any third party that deals with my first lien or subordinate lien (if applicable) mortgage loan(s), including Fannie Mae, Freddie Mac, or any investor, insurer, guarantor, or servicer of my mortgage loan(s) or any companies that provide support services to them, for purposes permitted by applicable law. Personal information may include but is not limited to: (a) my name, address, telephone number, (b) my Social Security number, (c) my credit score, (d) my income, and (e) my payment history and information about my account balances and activity.

Consent 7 *

• I agree that the terms of this borrower certification and agreement will apply to any modification trial period plan, repayment plan, or forbearance plan that I may be offered based on this application. If I receive an offer for a modification trial period plan or repayment plan, I agree that my first timely payment under the plan will serve as acceptance of the plan.

Consent 8 *

• I agree that when the Servicer accepts and posts a payment during the term of any repayment plan, trial period plan, or forbearance plan it will be without prejudice to, and will not be deemed a waiver of the acceleration of my loan or foreclosure action and related activities and shall not constitute a cure of my default under my loan unless such payments are sufficient to completely cure my entire default under my loan. If I qualify for and enter into a repayment plan, forbearance plan, and trial period plan, I agree to the establishment of an escrow account and the payment of escrow items if an escrow account never existed on my loan.

Consent 9 *

• I consent to being contacted concerning this application for mortgage assistance at any telephone number, including mobile telephone number, or email address I have provided to the lender, servicer, or authorized third party.* This includes text messages and telephone calls to my cellular or mobile telephone.

* An authorized third party may include, but is not limited to, a housing counseling agency, Housing Finance Agency (HFA) or other similar entity that is assisting me in obtaining a foreclosure prevention alternative.

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