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, including the borrower’s loan status foreclosure prevention alternatives and loan information. In addition, the
undersigned certifies based upon his or her personal review of the mortgage servicer’s records that if the borrower
submitted prior to the date of execution of this document a complete application for a first lien loan modification that the
borrower has been provided with a written denial regarding the borrower’s eligibility and there is no foreclosure
prevention alternative pending such as a trial loan modification, forbearance or repayment plan. The mortgage servicer
understands that S.B.S. Trustee Network, Inc. is relying upon the accuracy of the above information so that it can legally
initiate the referred foreclosure under Washington 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. Trustee Network, Inc. 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. Trustee
Network, Inc., 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. Trustee Network, Inc., 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: ________________________________________________________