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 Liens
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 cars, 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 $
|
