Foreclosure Prevention Counseling Forms

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Sample Foreclosure Prevention Counseling Forms
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Source: National Consumer Law Center, Repossessions and Foreclosures (5
. Ed. 2002)
Form 1: Authorization for Release of Information
In order to present a full range of foreclosure prevention options, a counselor generally must
obtain information about the amount of money the loan servicer claims due. Due to valid
privacy concerns for borrowers, very few servicers will release information to a counselor
without written authorization from the borrower. Form 1 is an authorization form. Generally, a
form of this type is sent by facsimile to the loan servicer with Form 2 requesting necessary
information.
Form 2: Information Request for Loan Servicer
Form 2 is a sample form that is useful for obtaining necessary information from a loan
servicer about the status of a loan. The information provided on this form helps determine the
amounts that the servicer believes are needed to cure or pay-off the loan. In some cases,
obtaining this information will crystallize a dispute the borrower may have concerning the
amount due on the loan.
Form 3: Sample Qualified Written Request under RESPA
Form 3 is a sample ‘‘qualified written request’’ for information under the Real Estate
Settlement Procedures Act (RESPA). A section of RESPA, 12 U.S.C. § 2605, provides a
procedure and a remedy to obtain information from a loan servicer that fails to provide it under
a more informal request such as Form 2.
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