Mortgage Assistance Application

Account number

Fannie Mae/Freddie Mac Form 710 Page 1 of 5 September 2017

C3_3018_737344

If you are having mortgage payment challenges, please complete and submit this application, along with the required

documentation, to Bank of America, N.A. via mail: 6860 Argonne St, Unit A, HRM Home Retention, Denver, CO 80249, fax:

866.580.9307, or online: bankofamerica.com/homeloanhelp. We will contact you within five business days to acknowledge

receipt and let you know if you need to send additional information or documents.

We will use the information you provide to help us identify the assistance you may be eligible to receive. If you need help

completing this application, please contact Bank of America, N.A. at 800.669.6650.

For a list of HUD-approved housing counseling agencies that can provide foreclosure prevention information, contact one of the

following federal government agencies:

• The U.S. Department of Housing and Urban Development (HUD) at 800.569.4287 or hud.gov/counseling

• The Consumer Financial Protection Bureau (CFPB) at 855.411.2372 or consumerfinance.gov/mortgagehelp

If you need assistance with translation or other language assistance, HUD-approved housing counseling agencies may be able to

assist you. These services are provided without charge.

Borrower Information

Borrower’s name:

Social Security Number (last 4 digits):

E-mail address:

Primary phone number: □ Cell □ Home □ Work □ Other

Alternate phone number: □ Cell □ Home □ Work □ Other

Co-borrower’s name:

Social Security Number (last 4 digits):

E-mail address:

Primary phone number: □ Cell □ Home □ Work □ Other

Alternate phone number: □ Cell □ Home □ Work □ Other

Preferred contact method (choose all that apply): □ Cell phone □ Home phone □ Work phone □ Email □ Text-checking this

box indicates your consent for text messaging

Is either borrower on active duty with the military (including the National Guard and Reserves), the dependent of a borrower on

active duty, or the surviving spouse of a member of the military who was on active duty at the time of death? □ Yes □ No

Property Information

Property Address:

Mailing address (if different from property address):

• The property is currently: □ A primary residence □ A second home □ An investment property

• The property is (select all that apply): □ Owner occupied □ Renter occupied □ Vacant

• I want to: □ Keep the property □ Sell the property □ Transfer ownership of the property to my servicer □ Undecided

Is the property listed for sale? □ Yes □ No - If yes, provide the listing agent’s name and phone number—or indicate “for sale by

owner” if applicable:

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C3_3018_737344

Is the property subject to condominium or homeowners’ association (HOA) fees? □ Yes □ No – If yes, indicate monthly dues:

Hardship Information

The hardship causing mortgage payment challenges began on approximately (date) __________________ and is believed to be:

◻ Short term (up to 6 months)

◻ Long-term or permanent (greater than 6 months)

◻ Resolved as of (date)

◻ I am able to resume or continue making the contractual monthly payment.

**If you have previously received a bankruptcy discharge of your personal obligation to pay the debt associated with

this home loan, you are not personally liable for the contractual monthly payment referenced above. If you are in an

active bankruptcy case, you may want to consult with your bankruptcy attorney for potential impacts specific to

your case.

TYPE OF HARDSHIP (CHECK ALL THAT APPLY) REQUIRED HARDSHIP DOCUMENTATION

◻ Unemployment ▪ Not required

◻ Reduction in income: a hardship that has caused

a decrease in your income due to circumstances outside

your control (e.g., elimination of overtime, reduction in

regular working hours, a reduction in base pay)

▪ Not required

◻ Increase in housing-related expenses: a hardship that

has caused an increase in your housing expenses due to

circumstances outside your control (e.g., uninsured

losses, increased property taxes, HOA special

assessment)

▪ Not required

◻ Disaster (natural or man-made) impacting the property

or borrower's place of employment. Includes personal

disaster in which the property experienced an

insurable loss.

▪ Not required

◻ Long-term or permanent disability, or serious illness

of a borrower/co-borrower or dependent family member

• Written statement from the borrower, or other

documentation verifying disability or illness

Note: Detailed medical information is not required, and

information from a medical provider is not required

◻ Divorce or legal separation

• Final divorce decree or final separation agreement OR

• Recorded quitclaim deed

◻ Separation of borrowers unrelated by marriage, civil

union, or similar domestic partnership under applicable

law

• Recorded quitclaim deed OR

• Legally binding agreement evidencing that the

nonoccupying borrower or co-borrower has relinquished

all rights to the property

◻ Death of borrower or death of either the primary or

secondary wage earner

• Death certificate OR

• Obituary or newspaper article reporting the death

Fannie Mae/Freddie Mac Form 710 Page 3 of 5 September 2017

C3_3018_737344

TYPE OF HARDSHIP (CHECK ALL THAT APPLY) REQUIRED HARDSHIP DOCUMENTATION

◻ Distant employment transfer/relocation

• For active duty service members: Permanent Change

of Station (PCS) orders or letter showing transfer.

• For employment transfers/new employment: Copy of

signed offer letter or notice from employer showing

transfer to a new location or written explanation if

employer documentation not applicable, AND

• Documentation that reflects the amount of any

relocation assistance provided (not required for those

with PCS orders)

◻ Other – hardship that is not covered above:

____________________________________________________

• Written explanation describing the details of the hardship

and any relevant documentation

Borrower Income

Please enter all borrower income amounts in middle column.

MONTHLY TOTAL BORROWER INCOME TYPE & AMOUNT REQUIRED INCOME DOCUMENTATION

Gross (pre-tax) wages, salaries and

overtime pay, commissions, tips, and

bonuses

• Most recent pay stub and documentation of year-

to-date earnings if not on pay stub OR

• Two most recent bank statements showing income

deposit amounts

Self-employment Income $

• Two most recent bank statements showing self-

employed income deposit amounts OR

• Most recent signed and dated quarterly or year-to-

date profit/loss statement OR

• Most recent complete and signed business tax

return OR

• Most recent complete and signed individual federal

income tax return

Unemployment benefit income $

• No documentation required

Taxable Social Security, pension,

disability, death benefits, adoption

assistance, housing allowance, and

other public assistance

• Two most recent bank statements showing deposit

amounts OR

• Award letters or other documentation showing the

amount and frequency of the benefits

Non-taxable Social Security or disability

income

• Two most recent bank statements showing deposit

amounts OR

• Award letters or other documentation showing the

amount and frequency of the benefits

Fannie Mae/Freddie Mac Form 710 Page 4 of 5 September 2017

C3_3018_737344

MONTHLY TOTAL BORROWER INCOME TYPE & AMOUNT REQUIRED INCOME DOCUMENTATION

Rental income (rents received, less

expenses other than mortgage expense)

• Two most recent bank statements demonstrating

receipt of rent OR

• Two most recent deposited rent checks

Investment or insurance income $

• Two most recent investment statements OR

• Two most recent bank statements supporting

receipt of the income

Other sources of income not listed

above (Note: Only include alimony, child

support, or separate maintenance

income if you choose to have it

considered for repaying this loan)

• Two most recent bank statements showing receipt

of income OR

• Other documentation showing the amount and

frequency of the income

Borrower Income Details

Please indicate whether or not your income is received for the full 12 months. (For example: "I am a teacher and receive my

pay over 9 months instead of 12 months.”)

I receive the income listed over the full 12 months (please mark “Yes” or “No”):

◻ Yes ◻ No

If no above, please indicate the total number of months you receive this income (1-

11):

______ Mo(s)

Co-Borrower Income Details

Please indicate whether or not your income is received for the full 12 months. (For example: "I am a teacher and receive my

pay over 9 months instead of 12 months.”)

I receive the income listed over the full 12 months (please mark “Yes” or “No”):

◻ Yes ◻ No

If no above, please indicate the total number of months you receive this income (1-

11):

______ Mo(s)

Current Borrower Assets

Exclude retirement funds such as a 401(k) or Individual Retirement Account (IRA), and college savings accounts such as a 529 plan.

Checking account(s) and cash on hand $

Savings, money market funds, and Certificates of Deposit (CDs) $

Stocks and bonds (non-retirement accounts) $

Other: $

Borrower Certification and Agreement

1. I certify and acknowledge that all of the information in this Mortgage Assistance Application is truthful, and the hardship

I identified contributed to my need for mortgage relief. Knowingly submitting false information may violate Federal and

other applicable law.

2. I agree to provide my servicer with all required documents, including any additional supporting documentation as

requested, and will respond in a timely manner to all servicer or authorized third party* communications.

3. I acknowledge and agree that my servicer is not obligated to offer me assistance based solely on the representations in

this document or other documentation submitted in connection with my request.

Fannie Mae/Freddie Mac Form 710 Page 5 of 5 September 2017

C3_3018_737344

4. I consent to the servicer or authorized third party* obtaining a current credit report for the borrower and co-borrower. I

further consent to the servicer obtaining and using tax return and tax transcript information to determine or confirm my

eligibility for mortgage assistance.

5. I further consent to the disclosure by my servicer, authorized third party,* or any investor/guarantor of my mortgage

loan(s), of any personal information collected during the mortgage assistance process and of any information about any

relief I receive, to Other Loan Participants that deal with my first lien or subordinate lien (if applicable) mortgage loan(s).

The term Other Loan Participants includes Fannie Mae, Freddie Mac, or any actual or potential investor, insurer,

guarantor, or servicer of my mortgage loan(s) or any companies that provide support services to them, and their

respective successors and assigns. This consent is given for purposes of servicer and Other Loan Participants

determining or confirming my eligibility for mortgage assistance, for the marketing, selling, securitizing, auditing,

insuring and servicing of the loan, and for any other purpose permitted by applicable law. Personal information may

include, but is not limited to: (a) my name, address, telephone number, (b) my Social Security number, (c) my credit

score, (d) my income, (e) my payment history and information about my account balances and activity, and (f) my tax

return and any related tax transcript information.

6. I agree that the terms of this borrower certification and agreement will apply to any modification trial period plan,

repayment plan, or forbearance plan that I may be offered based on this application. If I receive an offer for a

modification trial period plan or repayment plan, I agree that my first timely payment under the plan will serve as

acceptance of the plan.

7. I consent to being contacted concerning this application for mortgage assistance at any telephone number, including

mobile telephone number, or email address I have provided to the lender, servicer, or authorized third party.*

* 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 in obtaining a foreclosure prevention alternative.

Borrower signature: Date:

Co-Borrower signature: Date:

Please submit your completed application, together with the required documentation, to Bank of America, N.A. via

mail: 6860 Argonne St, Unit A, HRM Home Retention, Denver, CO 80249, fax: 866.580.9307, or online:

bankofamerica.com/homeloanhelp. We will contact you within five business days to acknowledge receipt and let you

know if you need to send additional information or documents.

We will use the information you provided to help us identify the assistance you may be eligible to receive.