100-00016B - Foreclosure Mediation Report Part II (12/2019) Page 2 of 2
Mortgagor Residence Information:
Does Mortgagor(s) Who Participated in Mediation Live at Foreclosure Property: ☐ Yes ☐ No
Will Mediation Outcome Result in Mortgagor(s) Living at Foreclosure Property: ☐ Yes ☐ No
Terms of Settlements Reached During Mediation: (specific details for outcomes listed in Mediation Report Part I)
Loan Modification:
Interest Rate: __________% Term (Number of Months): ____________________________
New Unpaid Principal Balance: ___________________
Principal Deferment: (if any) ___________________
Principal Forgiveness (if any): ___________________
New Principal & Interest: (Monthly Payment Amount) ______________________________
Property Taxes & Property Insurance: (Monthly) ______________________________
HOA Fees: (Monthly) ____________________ PMI: (Monthly): ______________________________
Total PITIA: (Monthly Payment Amount) ___________________
Additional Terms (if any): ____________________________________________________________
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Repayment Plan:
Payment Amount: __________ Payment Frequency: ________________________________
Total Number of Payments: __________ Total Repayment Amount: ______________________
Additional Terms: (if any)_____________________________________________________________
Forbearance Agreement Terms: ________________________________________________________
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Short Sale Terms: ____________________________________________________________________
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Deed in Lieu/Surrender of Property Terms: ________________________________________________
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Other Agreement Terms: ______________________________________________________________
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Additional Information (optional): _________________________________________________________
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