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Our office is open “by appointment” only. Please call 800-382-0017 to schedule.Office open by appointment only · 800-382-0017

contact@mccuemortgage.comNMLS: 2576 | CT License: 1101 | MA License: LS2576

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.

Mortgage Assistance Application

Borrower

Please complete the following information:

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

Primary Borrower Information

Borrower Mailing Address (if different than property)

Borrower Phone Type
Borrower Alt Phone Type

If yes, please provide documentation.

Has the bankruptcy been discharged?
Bankruptcy File Upload

Please attach any bankruptcy documentation here. Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

Coborrower Information

Coborrower Mailing Address (if different that mortgaged property)

Coborrower Phone Type
Coborrower Alt Phone Type

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?
Property

Property Information and Condition

Property Address

The property is currently
The property is (select all that apply)
Tenant Documentation

Please supply a copy of any and all tenant leases or written statement of rental agreements Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

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.

Hardship

Hardship Information

The hardship is believed to be

TYPE OF HARDSHIP (CHECK ALL THAT APPLY)

Hardship

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

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

Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

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

Note: Detailed medical information is not required, and information from a medical provider is not required Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

Final divorce decree or final separation agreement OR Recorded quitclaim deed

Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

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

Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

Death certificate OR Obituary or newspaper article reporting the death

Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

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

Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

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)

Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

Income

Employment and Monthly Income

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

Income: Check all that apply

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.

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) Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

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

Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

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

Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

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

Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

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.

Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

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

Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

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

Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

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.

*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. Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

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.

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. Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

Enter Employment Information and Monthly Income Amounts

Borrower

Employer's Address

Base wages beforetaxes

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

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

Coborrower

Employer's Address

Base wages beforetaxes

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

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

Contributing Household Member

Employer's Address

Base wages beforetaxes

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

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

Housing Expenses

Monthly Housing Expenses

Please include special assessments if applicable

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

Other Monthly Expenses

Please enter monthly totals for the following expenses:

Assets

Assets

Checking Account
Savings Account
Retirement Accounts (401K, IRA, Etc.)
Stocks, Bonds, Money Market
Checking Account

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. Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

Savings Account

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. Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

Investment Accounts

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. Please email this document to loss_mitigation@mccuemortgage.com with your loan number, or mail it to P.O. Box 1000, New Britain, CT 06050-1000.

Third Party Authorization

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.).
TPA
Consent

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!
Consent 2
Consent 3
Consent 4
Consent 5
Consent 6
Consent 7
Consent 8
Consent 9

* 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.