Financial information needed for a loan modification PDF Print E-mail

Below is a financial worksheet that the mortgage servicer will need to determine if you qualify for a loan modification. If you have 2 car payments, auto insurance, etc., make sure you include both on the form. Feel free to hit the "Print" button on the right to print this out:

Monthly Expenses: Assets
1st Mortgage Your Net Wages
2nd Mortgage/HELOC Your Spouse's Net Wages
Property Taxes Second Job Income (Net)
Property Insurance Child Support/Alimoney Received
Car Payment(s) Tenant Rent on Primary Residence
Auto Insurance Rental Income on Rental Property
Credit Cards (Min. monthly payment) Checking
Additional Mortgages Saving
Health Insurance IRA
Water Bill 401-K
Electricity Mutual Funds
Trash/Waste Management Stocks/Bonds
Gas/Propane/Heating Oil Other(s):
Child Support/Alimony
Home Phone
Cell Phone
Cables/Satellite/Internet
Entertainment
Dry Cleaning
Gasoline
HOA
Back Taxes
Bankruptcy Payments
Car Repairs
Medical Bills
Other(s):