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Section A: Mortgage Lates
Within the last 24 months have you had any late payments on your mortgage?

If yes, continue, otherwise skip to section B.
Number of Mortgage Lates
Within the last 12 months Between 13 and 24 months ago
30-59 days late
30-59 days late
60-89 days late
60-89 days late
90+ days late
90+ days late
Are you currently late on your mortgages?
Section B: Consumer Loan Lates
Have you had any late payments on your credit cards, auto loans, student loans or any other consumer debts?

If yes continue, otherwise skip to section C.
Number of Consumer Lates
Within the last 12 months Between 13 and 24 months ago
30-59 days late
30-59 days late
60-89 days late
60-89 days late
90+ days late
90+ days late
Are you currently late on your consumer loan payments?
Section C: Collections, Charge offs, Judgements, Tax Lien
Do you have any collections, charge offs, judgements or tax liens?
Section D: Bankruptcies
Have you been bankrupt during the last 7 years?
Section E: Foreclosures
Have you had any foreclosures during the last 7 years?
Section F: Payment load
Do you have a lot of consumer debts, such as credit cards, auto loans, student loans, etc.?
Section G: Equity in your property
The value of my house is $
The total amount of loans on my house are $



Mortgage Master, Inc - 371 Park Street - West Springfield, MA 01089
Office Phone: (413) 569-8001 Fax: (413) 328-7029 Cell Phone: (413) 265-1736
Toll Free Phone: (866) 775-3678


NMLS # 21568/ MA lic # ML021568/ CT lic # LO-21568



Equal Housing Lender Equal Housing Opportunity

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