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Get Wells Fargo Hardship Affidavit Form

Hardship Affidavit Form Loan number Use this form to tell us why it s difficult for you to make your current mortgage payments. A written explanation is required for each hardship selected below. I am/We are requesting review of my/our current financial situation to determine whether I/we qualify for temporary or permanent mortgage relief options. Date hardship began is I believe that my/our situation is Short-term less than 6 months Medium-term 6-12 months Long-term or Permanent Hardship greater than 12 months I am/We are having difficulty making my/our monthly payment because of financial difficulties created by check all that apply My/Our household income has been reduced* For example reduced pay or hours decline in business earnings death disability or divorce of a borrower or co-borrower. My/Our monthly debt payments are excessive and I am/We are overextended with my/our creditors. Debt includes credit cards home equity or other debt. My/Our expenses have increased* For example monthly mortgage payment reset high medical or health care costs uninsured losses increased utilities or property taxes. My/Our cash reserves including all liquid assets are insufficient to maintain my/our current mortgage payment and cover basic living expenses at the same time. Page 1 of 2 I am/We are unemployed and a receiving/will receive unemployment benefits or b my unemployment benefits ended less than 6 months ago. Other Explanation continue on another sheet of paper if necessary 7. How many single family properties other than your principal residence do you and/or any co-borrower s own individually jointly or with others 8. Has the mortgage on your principal residence ever had a Home Affordable Modification Program HAMP trial period plan or permanent modification Yes No permanent HAMP modification No If yes how many Signature Date Wells Fargo Home Mortgage is a division of Wells Fargo Bank N*A. A written explanation is required for each hardship selected below. I am/We are requesting review of my/our current financial situation to determine whether I/we qualify for temporary or permanent mortgage relief options. Date hardship began is I believe that my/our situation is Short-term less than 6 months Medium-term 6-12 months Long-term or Permanent Hardship greater than 12 months I am/We are having difficulty making my/our monthly payment because of financial difficulties created by check all that apply My/Our household income has been reduced* For example reduced pay or hours decline in business earnings death disability or divorce of a borrower or co-borrower. Date hardship began is I believe that my/our situation is Short-term less than 6 months Medium-term 6-12 months Long-term or Permanent Hardship greater than 12 months I am/We are having difficulty making my/our monthly payment because of financial difficulties created by check all that apply My/Our household income has been reduced* For example reduced pay or hours decline in business earnings death disability or divorce of a borrower or co-borrower. My/Our monthly debt payments are excessive and I am/We are overextended with my/our creditors. Debt includes credit cards home equity or other debt. .

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