S.B.S. is a debt collector, attempting to collect a debt and any information obtained will be used for that purpose.
ADVANCES (COPIES OF RECEIPTS FOR ALL ADVANCES ARE ATTACHED)
Prior Lien Date __________________ Amount $ ________________________
Property Taxes Date __________________ Amount $ ________________________
Insurance Date __________________ Amount $ ________________________
Other______________________________ Date __________________ Amount $ ________________________
NAMES AND ALL KNOWN ADDRESSES FOR TRUSTORS/CURRENT PROPERTY OWNERS
________________________________________________________________________________________________________
________________________________________________________________________________________________________
IS THE BORROWER _______ ALIVE _______ DECEASED
Social Security #’s: 1. _________________________________ 2. _____________________________________________
Property Address __________________________________________________________________________________
Beneficiary ______________________________________________________________________________________________
Address ______________________________________________________________________________________________
Phone (______)_______________________________ Fax (_____)____________________________________
Contact ______________________________________ Dept. __________________________________________
Email ______________________________________
The undersigned certifies, after his or her personal review of the mortgage servicer’s file, that each statement in this
declaration is accurate, complete and supported by competent and reliable evidence which the undersigned, an employee
or authorized agent for the mortgage servicer has reviewed to substantiate the borrower’s default and the right to
foreclose. The mortgage servicer understands that S.B.S. Trust Deed Network is relying upon the accuracy of the above
information so that it can legally initiate the referred foreclosure under Arizona law. Any inaccuracies in the foregoing
information provided by the mortgage servicer may result in serious legal consequences, for which the mortgage servicer
shall be solely responsible for any damages, losses or attorney’s fees incurred by S.B.S. Trust Deed Network resulting or
arising from any inaccuracy.
The undersigned hereby promises and agrees to pay, on demand, the trustee’s fee in the amount permitted by law,
together with all costs and expenses incidental to these proceedings. It is agreed and understood that S.B.S. Trust Deed
Network, may not proceed with the sale and/or deliver the trustee’s deed until all fees and costs have been paid. I/we also
agree to indemnify and hold S.B.S. Trust Deed Network, its agents, officers or employees, harmless from and against all
costs, damages, attorney’s fees, expenses, obligations and liabilities of any kind which you may incur or sustain by any
reason of this default and foreclosure proceeding and/or the sale of the trust property by reason of any act of omission or
commission on the part of others and the undersigned, for whom you are acting as an agent.
Date: _________________________________ By: ________________________________________________________
Title: ________________________________________________________