Fillable 100 00016B Foreclosure Mediation Report II (Vermont Judiciary)

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100 00016B Foreclosure Mediation Report II (Vermont Judiciary)

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100-00016B - Foreclosure Mediation Report Part II (12/2019) Page 1 of 2
STATE OF VERMONT
SUPERIOR COURT
CIVIL DIVISION
Unit
Docket No.
Plaintiff/Mortgagee
Defendant(s)/Mortgagor(s)
vs.
FORECLOSURE MEDIATION REPORT -- PART II
(File Part II only with the Attorney General’s Office, not the Court)
Current Loan & Lender Information:
Current Lender: _____________________________________________________________
Current Loan Servicer: _____________________________________________________________
Loan Type:
☐ Freddie Mac ☐ Fannie Mae ☐ FHA ☐ VA ☐ Rural Housing ☐ Non GSE
☐ Other: (specify) _______________________________________________________________
Current Terms of Loan:
Interest Rate: __________% Term (Number of Months): _________________________
Unpaid Principal Balance: ____________________
Reinstatement Amount: ____________________ Date: _________________________
Payoff Amount: ____________________ Date: _________________________
Current Principal & Interest: (Monthly Payment Amount) ______________________________
Current Property Taxes & Property Insurance: (Monthly) ______________________________
HOA Fees: __________ Private Mortgage Insurance: (Monthly): __________________
Total PITIA: (Monthly Payment Amount) _______________
Prior Loan Modification:
Date: _________________________
Description: (type of modification & terms) _________________________________________________
_______________________________________________________________________________
Foreclosure Property Information:
FMV: ____________________ Date: ___________________________
Basis Used to Determine: ____________________________________________________________
Assessed Value: ____________________ Date: ___________________________
100-00016B - Foreclosure Mediation Report Part II (12/2019) Page 2 of 2
Mortgagor Residence Information:
Does Mortgagor(s) Who Participated in Mediation Live at Foreclosure Property: ☐ Yes ☐ No
Will Mediation Outcome Result in Mortgagor(s) Living at Foreclosure Property: ☐ Yes ☐ No
Terms of Settlements Reached During Mediation: (specific details for outcomes listed in Mediation Report Part I)
Loan Modification:
Interest Rate: __________% Term (Number of Months): ____________________________
New Unpaid Principal Balance: ___________________
Principal Deferment: (if any) ___________________
Principal Forgiveness (if any): ___________________
New Principal & Interest: (Monthly Payment Amount) ______________________________
Property Taxes & Property Insurance: (Monthly) ______________________________
HOA Fees: (Monthly) ____________________ PMI: (Monthly): ______________________________
Total PITIA: (Monthly Payment Amount) ___________________
Additional Terms (if any): ____________________________________________________________
________________________________________________________________________________
Repayment Plan:
Payment Amount: __________ Payment Frequency: ________________________________
Total Number of Payments: __________ Total Repayment Amount: ______________________
Additional Terms: (if any)_____________________________________________________________
Forbearance Agreement Terms: ________________________________________________________
___________________________________________________________________________________
Short Sale Terms: ____________________________________________________________________
___________________________________________________________________________________
Deed in Lieu/Surrender of Property Terms: ________________________________________________
___________________________________________________________________________________
Other Agreement Terms: ______________________________________________________________
___________________________________________________________________________________
Additional Information (optional): _________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
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100 00016B Foreclosure Mediation Report II (Vermont Judiciary)

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Completed 18 July 2020

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