Axia Submission Sheet

Axia Financial, LLC

Submission Form Client Name(s) ____________________________________________________________________ Please Print Address___________________________________________________________________________ Phone_____________________________ Email__________________________________________ Loans to Modify:

Estimated Market Value $_______________

1st Mortgage Lender ______________ Loan Number _________________ Interest Rate __________% 2nd Mortgage Lender______________ Loan Number _________________ Interest Rate __________% Basic Questions:

Circle All That Apply:

What type of loan is the first Mortgage?

Interest only Fixed Adjustable

When is the loan set to adjust?

Already has

1-2 months

3 months or more

Does the monthly mortgage payment include escrows?

Yes

No

Are they in foreclosure?

Yes

No

What was the date of filing? Did they receive an NOD letter? Yes

Option Arm

___________________________________________ No

Date received ________________________________

Is there a “Notice of Sale”?

Yes

No

Do they occupy the property

Yes

No

Have they had the loan at least 1 year?

Yes

No

Are they currently behind on their mortgage?

Yes

No

How many months behind? ______

Have they done a loan Modification or Rate freeze in the last 12 months?

Yes

No

Stacking order: 1. Submission form 2. Payment form/fee agreement 3. Mortgage statement 1st 4. Mortgage statement 2nd (if applicable) 5. Authorization to Release Information 6. Hardship letter (signed) 7. Financial Worksheet completed and signed by borrower 8. Blank Financial Worksheet signed by borrower 9. Last two years W2’s (if self employed need tax returns all pages) 10. Wage-earners - 2 current paycheck stubs 11. Tenant rent or other income (if applicable) 12. Bank statements (last three months) 13. Business bank statements (last three months if self employed) Submitting Broker or Agent ___________________________Phone # __________________________