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Acknowledgment and agreement
I/We understand that I/we will be considered for all mortgage assistance options
available to me/us. I/We certify the following:
1. All information in this adavit is true and accurate and the
events identied are the reason that I/we need to request a
modication of the terms of my/our mortgage, short sale, or
deed in lieu of foreclosure.
2. I/We consent to the servicer or authorized third party obtaining
a current credit report for the borrower and co-borrower. 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/us in obtaining a
foreclosure prevention alternative.
3. I/We understand that if I/we have intentionally defaulted on
my/our existing mortgage, engaged in fraud, or misrepresented
any facts in connection with this document, the Servicer may
cancel any Agreement and may pursue foreclosure on my/our
home and/or pursue any available legal remedies.
4. I/We are willing to provide all requested documents and to
respond to all Servicer questions in a timely manner.
5. I/We understand that the Servicer will use the information in this
document to evaluate my/our eligibility for a loan modication,
short sale, or deed in lieu of foreclosure, but the Servicer is
not obligated to oer me/us assistance based solely on the
statements in this document.
6. If I/we are eligible for a modication, repayment plan, or
forbearance plan, and I/we accept and agree to all terms of such
plan, I/we also agree that the terms of this acknowledgment and
agreement are incorporated into such plan by reference as if set
forth in such plan in full.
7. My/Our rst timely payment following my/our Servicer’s
determination and notication of my/our eligibility or
prequalication for a modication, repayment plan, or
forbearance plan (when applicable) will serve as acceptance of
the terms set forth in the notice sent to me that sets forth the
terms and conditions of the modication, repayment plan, or
forbearance plan.
8. I/We agree that when the Servicer accepts and posts a payment
during the term of any repayment plan, modication, or
forbearance plan, it will be without prejudice to, and will not
be deemed a waiver of, the acceleration of my/our loan or
foreclosure action and related activities and shall not constitute
a cure of my/our default under my/our loan unless such
payments are sucient to completely cure my/our entire default
under my/our loan.
9. I/We agree that any prior waiver of an escrow account
requirement for this loan may be revoked and an escrow
account may be established, upon execution of this agreement,
and in accordance with investor guidelines.
10. I/We understand that the Servicer will collect and record
personal information, including, but not limited to, my/our
names, address, telephone number, Social Security numbers,
credit score, income, payment history, and information about
account balances and activity. I/We understand and consent to
the disclosure of my/our personal information to (a) any investor,
insurer, guarantor, or Servicer that owns, insures, guarantees,
or services my/our rst lien or subordinate lien (if applicable)
mortgage loan(s); (b)companies and/or individuals that perform
support services in conjunction with home preservation
mortgage assistance eorts; (c) auditors, including but not
limited to independent auditors, regulators, and agencies; and
(d) any HUD-certied housing counselor.
11. I/We understand that the Servicer may investigate the accuracy
of my/our statements, including contacting my/our employers
for verication of employment and/or salary information, may
require me/us to provide supporting documentation, and that
knowingly submitting false information may violate federal law
and may result in foreclosure.
12. I/We consent to being contacted concerning this application for
mortgage assistance at any telephone number, including mobile
telephone number, or email address I/We have provided to the
lender, servicer, or authorized third party.
Mortgage assistance application
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Borrower signature(s)
The undersigned certies under penalty of perjury that all
statements in this document are true and correct:
Borrower’s signature
Date (MM/DD/YYYY)
Co-borrower’s signature
Date (MM/DD/YYYY)
PQ October 2018 MAA © 2018 Wells Fargo Bank, N.A. All rights reserved. NLMSR ID 399801
ECG-3412302