Fillable BORROWERS ASSISTANCE PACKAGE (Virginia Housing)

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BORROWERS ASSISTANCE PACKAGE (Virginia Housing)

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VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 1 of 22
BORROWER’S ASSISTANCE PACKAGE
Completion of the Borrower’s Assistance Package (BAP) is the first step in asking VHDA
to review your loan for possible assistance.
x A complete package is one that contains all required documents in the
appropriate format from all borrowers on the loan.
x Only complete packages can be assigned to a loss mitigation officer for review.
x By submitting a complete package you allow us to process your request more
quickly.
x It is CRITICAL that you carefully read and follow all instructions on pages 2 and
3 and provide all required documents.
x Please make a copy of all documents you remit to VHDA and retain copies for
your records. VHDA cannot provide copies for you.
Copies of the HUD notices HOUSING COUNSELORS (9692HC) and TIPS TO AVOID FORECLOSURE
(HUD-2008-5-FHA) have been included.
x If you need assistance in completing the application, you may contact a HUD-approved counselor.
x To find a counselor in your area, see page 18 of this application.
A copy of the SERVICEMEMBERS CIVIL RELIEF ACT NOTICE DISCLOSURE form (HUD-92070 Exp 3-31-21)
has been included.
x Please read this document to see if it pertains to you.
PROCESSING OF YOUR FILE WILL BEGIN ONCE WE HAVE ALL OF THE INFORMATION WE NEED.
x Depending on your individual circumstances, additional information may be required.
x Once the file has been processed it will then be given to a loss mitigation officer for their review.
SHOULD YOU HAVE QUESTIONS:
x Email lossmitigation@vhda.com
x Call the Loss Mitigation department at 1-888-756-8603 or 804-783-6716
SEND YOUR COMPLETED BORROWER'S ASSISTANCE PACKAGE TO:
x Email: lossmitigation@vhda.com
x Fax: 1-804-343-8680
x Mail: VHDA – Attn: Loss Mitigation Dept.
P.O. Box 4627
Richmond, VA 23220-8627
Note: VHDA is not responsible for the security and/or confidentiality of personal information submitted via email
or fax.
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 2 of 22
INSTRUCTIONS FOR COMPLETING THE BAP
PLEASE FOLLOW THESE INSTRUCTIONS CAREFULLY
Remember that sending in a complete package will help us
process your request quicker.
1. Borrower’s Assistance Package (BAP)
x
Pages 4 – 14 must be completed.
x Complete all sections on pages 4 – 7.
x Send in pages 4 – 14, even if you did not enter any information on them.
2. Borrower Occupancy Status (Page 8 of the BAP)
x Complete Occupancy question (#2).
3. Borrower Acknowledgement and Agreement (Pages 8 - 9 of the BAP)
x Read these pages carefully.
x Print, sign your name, and date page 9.
x Paperwork submitted without your signature cannot be processed.
4. Third Party Authorization (Page 10 of the BAP)
x Only complete this page if you need VHDA to speak with someone other than the
people listed on the note.
x Examples would be a realtor, spouse, etc.
5. Hardship Affidavit (Pages 12 – 13 of the BAP)
x In this section you will identify the reason(s) for your hardship.
x Check the appropriate hardship(s).
x Provide the required documents. Hardship documents MUST be submitted.
x Some sections allow a choice of what documents you can provide and some do
not. Follow the instructions as to what documents you must provide.
6. Employment Income Verification
x 30 days of current and consecutive paystubs are required.
x Paystubs must show company name and year-to-date pay information.
7. Self-Employment Income Verification
x Complete, signed individual federal income tax return and, as applicable, the
business tax return AND
x A Profit & Loss statement for the most recent quarter, prepared by a Certified
Public Accountant (CPA), OR
x A self-prepared Profit & Loss statement for the most recent quarter AND business
bank statements for the same quarter
8. Other Required Income Verification
x Page 11 shows the other types of non-employment income you may be receiving.
x Check the type of income you receive.
x You must provide ALL required documents listed for that income type.
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 3 of 22
9. Verification of Home Owners Association (HOA) Dues
x Provide a statement from the association showing the monthly assessment
amount and account balance.
x Statements must be provided whether the account is current or past due.
x If a statement is not available, send a copy of a payment coupon.
10. Bank Statements
x Two (2) months of current and consecutive bank statements for all checking
and savings accounts.
x Include ALL pages of the statements, even they are blank.
x Statements must show the bank name and logo, your name and address, and
the statement timeframe or date.
x Lists of transactions or account/history summaries are NOT acceptable.
11. Tax Returns
x Provide the last 2 years of federal and state tax returns.
x SIGN and date the 1040 form even if your tax return was submitted
electronically.
x Provide all schedules and numbered forms (A, C, 8879, etc.)
12. 4506-T Request for Transcript of Tax Return
x If you don’t have your tax returns, or can’t get copies, then this form will be
used to order your tax transcripts from the IRS. This process takes 5 - 7 days.
x If you have your returns, it is best and faster for you to provide them.
x THIS FORM MUST BE COMPLETED EXACTLY AS SHOWN IN THE
SAMPLE. If it is not, you will need to submit another form. No corrections
can be made by us.
You should continue to make your payment until a
decision on your application has been made.
Please note your account will continue to be reported to the appropriate
credit reporting agencies.
Borrower’s Assistance Packages received by VHDA within 14 days of
scheduled foreclosure sales do not provide sufficient time to fully evaluate
and decision the applications. As such, VHDA will not accept a Borrower’s
Assistance Package received 14 days or less prior to a scheduled
foreclosure sale date.
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 4 of 22
BORROWER’S ASSISTANCE STATEMENT
VHDA LOAN # _____________________
BORROWER CO-BORROWER
Borrower’s Name Co-Borrower’s Name
Social Security Number
________ - ________ - ________
Date of Birth
_____/_____/_____
Social Security Number
________ - ________ - ________
Date of Birth
_____ /_____ /_____
Home Phone # with area code (Best time to Call)
(________) ________ - __________
Home Phone # with area code (Best time to Call)
(________) ________ - __________
Cell Phone # with area code (Best time to Call)
(________) ________ - __________
Cell Phone # with area code (Best time to Call)
(________) ________ - __________
Work Phone # with area code (Best time to Call)
(________) ________ - __________
Work Phone # with area code (Best time to Call)
(________) ________ - __________
Property Address: Total Number in Household:
Mailing Address (Complete only if different): Email address:
PROPERTY INFORMATION
Do you have condominium or homeowner association (HOA) fees? Yes No (If yes, provide verification of dues.)
Total Monthly HOA Payment Amount: $_________________ (not payment to VHDA)
Name and address to whom fees are paid: _____________________________________________________________
_____________________________________________________________
I want to: Keep the Property Vacate the Property Sell the Property Undecided
The property is currently: My Primary Residence Second Home Investment Property
The property is currently: Owner Occupied Vacant Tenant Occupied *
*If the property is rented please provide a copy of the
rental agreement.
Is the property listed for sale? Yes No Listing Date: ________________
If the property has been listed for sale, have you received an offer on the property?
Yes No
Date of Offer: ________________________________ Amount of Offer: _________________________________
Is the property for sale by:
Owner Agent (If by Agent, please provide a copy of the listing agreement).
Agent’s Name:__________________________________________________________________________
Agent’s Phone #: ________________________________________________________________________
Agent’s Email: __________________________________________________________________________
Borrower Forward Mailing Address:_________________________________________________________
Do you have condominium or homeowner association (HOA) fees? Yes No (If yes, provide verification of dues.)
Total Monthly HOA Payment Amount: $_________________ (not payment to VHDA)
Name and address to whom fees are paid: _____________________________________________________________
_____________________________________________________________
Evening
Evening
Evening
Evening
Evening
Evening
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 5 of 22
VHDA LOAN # ______________________
COUNSELING
Have you contacted a credit Counseling Agency for help? Yes No
If yes, complete counselor contact information below.
Counselor’s Name: ______________________________ Agency Name: _____________________________________
Counselor’s Phone #: ________________________ Counselor’s Email: ______________________________________
MILITARY STATUS
Is any borrower an active duty service member? Yes No Primary Borrower Co-Borrower
Has any borrower been deployed away from his/her primary residence or received a Permanent Change of Station Order? Yes No
Is any borrower the surviving spouse of a deceased service member who was on active duty at the time of death?
Yes No
BANKRUPTCY INFORMATION
Have you filed for bankruptcy? Yes No
If Yes:
Chapter 7 Chapter 11 Chapter 12 Chapter 13 Filing Date: _________________________
Has your bankruptcy been discharged?
Yes* No Bankruptcy Case Number: __________________________
*If yes, please provide a copy of the discharge order signed by the court.
INFORMATION FOR GOVERNMENT MONITORING PURPOSES
The following information is requested by the federal government in order to monitor compliance with federal statutes that
prohibit discrimination in housing. You are not required to furnish this information but are encouraged to do so. The law
provides that a lender or servicer may not discriminate either on the basis of this information or on whether you choose to
furnish it. If you furnish the information please provide both ethnicity and race. For race you may check more than one
designation. If you do not furnish ethnicity, race or sex, the lender or servicer is required to note the information on the basis
of visual observation or surname if you have made this request for a foreclosure alternative in person.
If you do not wish to furnish the information please check the box below.
BORROWER: I do not wish to furnish this information. CO-BORROWER: I do not wish to furnish this information.
Ethnicity: Hispanic or Latino
Not Hispanic or Latino
Ethnicity:
Hispanic or Latino
Not Hispanic or Latino
Race: American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Race:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Sex: Female
Male
Sex:
Female
Male
To be completed by Interviewer: Face-to-face interview Mail Telephone Internet
Interviewer’s Name (print or type) Interviewer’s Signature Interviewer’s Phone Number with area code
Name of Interviewer’s Employer Address of Interviewer’s Employer
click to sign
signature
click to edit
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 6 of 22
VHDA LOAN # ______________________
EMPLOYMENT – BORROWER EMPLOYMENT – CO-BORROWER
Current Employer’s Name, Address & Phone # How Long? Current Employer’s Name, Address & Phone # How Long?
MONTHLY INCOME – BORROWER MONTHLY INCOME – CO-BORROWER
Frequency of Pay Frequency of Pay
Gross Wages $ Gross Wages $
Overtime (average per month) $ Overtime (average per month) $
Child Support *
$ Child Support * $
Alimony * $ Alimony * $
Non-taxable Social Security /
SSDI
$ Non-taxable Social Security /
SSDI
$
Taxable SS benefits or other
monthly income from annuities or
retirement plans
$ Taxable SS benefits or other
monthly income from annuities
or retirement plans
$
Tips / Commissions / Bonus $ Tips / Commissions / Bonus $
Self-Employment Income $ Self-Employment Income $
Rents Received $ Rents Received $
Unemployment Income $ Unemployment Income $
Food Stamps / Welfare
(SNAP / TANF) (please circle)
$ Food Stamps / Welfare
(SNAP / TANF) (please circle)
$
Other (specify) $ Other (specify) $
Total Gross Income $ Total Gross Income $
*Notice: Alimony, child support, or separate maintenance income need not be revealed if you do not
wish to have it considered for repaying this loan.
ASSETS – BORROWER ASSETS – CO-BORROWER
Checking Account(s) $ Checking Account(s) $
Checking Account(s) $ Checking Account(s) $
Savings / Money Market $ Savings / Money Market $
CD’s $ CD’s $
Stock / Bonds $ Stock / Bonds $
Other Cash on Hand $ Other Cash on Hand $
Other Real Estate (estimated value) $ Other Real Estate (estimated value) $
Other (specify) $ Other (specify) $
Total Assets $ Total Assets $
**Do you want to use the Child Support or Alimony income in evaluation? Yes or No
Biweekly
0.00
Biweekly
0.00
0.00
0.00
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 7 of 22
VHDA LOAN # ______________________
MONTHLY HOUSEHOLD EXPENSES
(for all household members)
Food (includes grocery store and dining out) $
Utilities (includes electricity, gas, water, sewer, trash) $
MONTHLY HOUSEHOLD DEBT PAYMENTS
(for all household members)
First Mortgage Payment $ Alimony / Child Support Payments $
Second Mortgage Payment $ Car Payments / Car Lease Payments $
HOA / Condo Fees / Property
Maintenance
$ Credit Cards / Installment Loan(s)
(total minimum payment per month)
$
Property Taxes $
Homeowner’s Insurance $
Mortgage Payments on other Properties $
Other $
Total Household Debt Payments: $ _______________________________
OTHER LIENS
(Mortgage Liens, Mechanics Liens, Tax Liens, Etc.)
Lienholder’s Name Balance and Interest Rate Loan Number Lienholder’s Phone Number
NOTE: Please be advised that if there are any other Mortgages secured by this same property, you should
consider contacting the Mortgage Holder(s) to discuss their available Loss Mitigation options as well.
How many vehicles do you maintain?
#
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 8 of 22
VHDA LOAN # ______________________
BORROWER / CO-BORROWER ACKNOWLEDGEMENT AND AGREEMENT
I/We certify, acknowledge and agree to the following:
1. All of the information in this Borrower Assistance Package is accurate and the hardship that I have
identified contributed to my need for mortgage relief.
2. The property is (please select one):
Owner occupied
Non-owner occupied
Vacant
3. The accuracy of my statements may be reviewed by the servicer, owner or guarantor of my mortgage,
their agent(s) or an authorized third party* and I may be required to provide additional supporting
documentation. I will provide all requested documents and will respond timely to all servicer or
authorized third party* communications.
4. Knowingly submitting false information may violate Federal and other applicable law.
5. If I have intentionally defaulted on my existing mortgage, engaged in fraud or misrepresented any
fact(s) in connection with this request for mortgage relief or if I do not provide all required
documentation, the servicer may cancel any mortgage relief granted and may pursue foreclosure on my
home and/or pursue any available legal remedies.
6. The servicer is not obligated to offer me assistance based solely on the representations in this
document or other documentation submitted in connection with my request.
7. I may be eligible for a trial period plan, repayment plan or forbearance plan. If I am eligible for one of
these plans, I agree t
hat:
a. All the terms of this Acknowledgment and Agreement are incorporated into such plan by
reference as if set forth in such plan in full.
b. My first timely payment under the trial payment, repayment or forbearance plan will serve as
acceptance of the terms set forth in the notice of the plan sent by the servicer.
c. The servicer’s acceptance of any payments under the plan will not be a waiver of any
acceleration of my loan or foreclosure action that has occurred and will not cure my default
unless such payments are sufficient to completely cure my entire default under my loan.
d. Payments due under a trial period plan for a modification will contain escrow amounts. If I wa
s
not
previously required to pay escrow amounts and my trial period plan contains escrow
amounts, I agree to the establishment of an escrow account and agree that any prior waiver
is
r
evoked. Payments due under a repayment plan or forbearance plan may or may not conta
in
escr
ow amounts. If I was not previously required to pay escrow amounts and my repayment
plan or forbearance plan contains escrow amounts, I agree to the establishment of an escrow
account and agree that any prior escrow waiver is revoked.
8. A condemnation notice has not been issued for the property.
9. The servicer or authorized third party* will obtain a current credit report on all borrowers obligated on
the Note.
10. The servicer or authorized third party* will collect and record personal information that I submit in this
Borrower Assistance Package and during the evaluation process. This personal information may
include, but is not limited to: (a) my name, address, telephone number, (b) my Social Security number,
(c) my credit score, (d) my income, and (e) my payment history and information about my account
balances and activity. I understand and consent to the servicer and authorized third party* as well as
any investor or guarantor (such as Fannie Mae or Freddie Mac), disclosing my personal information
and the terms of any relief or foreclosure alternative that I receive to the following:
a. Any investor, insurer, guarantor or servicer that owns, insures, guarantees or services my
first lien or subordinate lien (if applicable) mortgage loan(s) or any companies that perform
support services to them: and
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 9 of 22
b. The U.S. Department of Treasury, Fannie Mae and Freddie Mac, in conjunction with their
responsibilities under the Making Home Affordable program, or any companies that perform
support services to them.
11. I consent to being contacted concerning this request for mortgage assistance at any telephone number,
including mobile telephone number or email address I have provided to the lender / servicer / or
authorized third party*. By signing below, I also consent to being contacted by text messaging.
12. I am/we are willing to commit to credit counseling if it is determined that my/our financial hardship is
related to excessive debt.
13. I/We understand and acknowledge that any action taken by VHDA, the servicer on my/our mortgage
loan on my/our behalf will be made in strict reliance on the financial information provided.
14. I/We attest that the subject property has no physical condition(s) which adversely impact continued use
or my/our ability to support the debt.
15. My/Our submission of documentation to VHDA and the consideration by VHDA and discussions with
you of any possible mortgage loan assistance shall not constitute a contract to modify my/our loan.
16. No contract to modify my/our loan shall exist until the appropriate documents modifying the loan terms
have been executed by myself/ourselves and VHDA.
17. Accordingly, prior to the execution of those documents, I/we will not take any action (or fail to take any
action) in reliance on any foreclosure alternative being approved by VHDA.
18. The acceptance by VHDA of my/our submission of documentation and its consideration and discussion
with me/us of possible foreclosure alternatives shall not be deemed to constitute a waiver of any of
my/our obligations of any of VHDA’s rights and remedies under the loan documents.
19. Discussions and negotiations of possible foreclosure alternatives will not constitute a waiver of or
defense to VHDA’s right to commence or continue any foreclosure or other collection action, and an
alternative to foreclosure will be provided only if an agreement has been approved in writing by VHDA.
*An authorized third party may include, but is not limited to, a realtor, creditor and credit bureaus, a
counseling agency, Housing Finance Agency (HFA) or other similar entity that is assisting me in obtaining
a foreclosure prevention alternative.
______________________________ __________________________________ _______________
Borrower Print Name Borrower Signature Date
______________________________ __________________________________ _______________
Co-Borrower Print Name Co-Borrower Signature Date
click to sign
signature
click to edit
click to sign
signature
click to edit
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 10 of 22
VHDA THIRD PARTY AUTHORIZATION
NOTE: This page must be completed if you are giving VHDA permission to talk about your mortgage
with anyone other than the person(s) listed on the note.
x The third party authorization allows you, the borrower(s), to give permission to VHDA to speak with others about your
loan especially involving retention/liquidation options.
x Without this properly executed permission, VHDA will only speak with those persons who appear on the actual
mortgage note.
x It is your responsibility to designate the person(s)/companies that have your permission and the timeframe or specific
circumstances involved.
x Information contained in this document will be entered in VHDA’s mortgage processing system and the document
itself will be retained with the file and imaged.
x Please note that those persons receiving authorization to speak with VHDA’s representatives can only receive
information and are not permitted to make changes.
Loan Number: _______________________
Property Address: ______________________________________________________________________
Authorization to Release Information:
I/We hereby authorize VHDA to release to those persons/companies shown below any and all information
he/she/they may require for the purpose of discussing my loan, credit, retention option, transfer, sale and/or
foreclosure of the property.
________________________________ __________________________________ ______________
Borrower Print Name Borrower Signature Date
________________________________ __________________________________ ______________
Co-Borrower Print Name Co-Borrower Signature Date
Permission is granted to: (check appropriate box and list company and/or individual’s name)
Spouse/Partner Housing Counseling Agency Realtor/Realty Company
Attorney’s Office Third Party Negotiator Other __________________________
Company Name: _______________________________________________________________________
Individual Name: _______________________________________________________________________
Individual Name: _______________________________________________________________________
Timeframe permission granted:
(You must select either Life of Loan or list a specific date range)
Life of loan
For the specific time of: _________________________________________________________________
(Month/Year to Month/Year)
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 11 of 22
REQUIRED INCOME DOCUMENTATION
This section tells you exactly what type of documentation you need to provide to VDHA based on the
type of income you receive.
Do you earn a salary or hourly wage?
For each borrower who is a salaried employee or paid
by the hour include:
x Paystubs reflecting the most current and
consecutive 30 days of earnings AND
x Documentation reflecting year-to-date earnings
(if not reported on the paystubs then a signed
letter or printout from the employer).
Are you self-employed?
For each borrower who receives self-employment
income include:
x Complete, signed individual federal income tax
return and, as applicable, the business tax
return AND
x A Profit & Loss statement for the most recent
quarter, prepared by a Certified Public
Accountant (CPA), OR
x A self-prepared Profit & Loss statement for the
most recent quarter AND business bank
statements for the same quarter
DO YOU HAVE ANY ADDITIONAL SOURCES OF INCOME? Provide for each borrower as applicable:
Other Earned Income: such as Bonuses, Commissions, Housing Allowance, Tips or Overtime:
Reliable third-party documentation describing the amount and nature of the income (e.g. paystubs,
employment contract or printouts documenting tip income)
Social Security, Disability or Death Benefits, Pension, Public Assistance or Adoption Assistance:
Documentation showing the amount and frequency of the benefits, such as letters, exhibits, disability
policy or benefits statement from the provider AND
Documentation showing the receipt of payment, such as copies of the two most recent and consecutive
bank statements showing deposit amounts (please circle amounts on the bank statements)
Rental Income:
Copy of the most recent filed federal tax return with all schedules, including Schedule E – Supplemental
Income and Loss. Rental income for qualifying purposes will be 75% of the gross rent you reported,
reduced by the monthly debt service on the property, if applicable, AND
A copy of the current lease agreement with either bank statements (please circle amounts on the bank
statements) or cancelled rent checks demonstrating receipt of rent.
Investment Income:
Copies of the two most recent and consecutive investment or bank statements supporting receipt of this
income (please circle amounts on the bank statements)
Alimony, Child Support or Separation Maintenance Payments as qualifying income:*
Copy of divorce decree, separation agreement or other written legal agreement filed with a court or court
decree that states the amount of the alimony, child support or separation maintenance payments and the
period of time over which the payments will be received AND
Copies of your two most recent and consecutive bank statements (please circle amounts on the bank
statements) or other third-party documents showing receipt of the payments
*Notice: Alimony, Child Support or Separate Maintenance Income need not be revealed if you do not
choose to have it considered for repaying the loan.
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 12 of 22
HARDSHIP AFFIDAVIT
I am requesting review of my current financial situation to determine whether I qualify for temporary or
permanent mortgage loan relief options. Date Hardship began is: __________________________________
I believe my situation is: Short-term (under 6 months) Medium term (6-12 months)
Long-term/Permanent (greater than 12 months)
HARDSHIP REASONS AND DOCUMENTATION
Step 1: Check the reason(s) for your hardship.
Step 2: Submit the required documentation that demonstrates/proves your hardship.
Unemployment
x Send the Termination Letter, letter from employer indicating end date, unemployment award letter, etc.
for the relevant time period
Reduction in Income: a hardship that has caused a decrease in your income due to circumstances outside
of your control (e.g., elimination of overtime, reduction in regular working hours, a reduction in base pay)
x Send pay stubs reflecting reduction, letter from employer eliminating hours/pay rate, etc.) for the relevant
time period
Increase in Household Expenses: a hardship that has caused an increase in your monthly living expenses
(utilities, food, etc.) due to circumstances outside of your control
x Send copies of bills, invoices, payment receipts, etc. for increases in monthly living expenses for the
relevant time period
Increase in Housing Expenses: a hardship that has caused an increase in your housing expenses (repairs,
maintenance on the home) due to circumstances outside of your control
x Send copies of bills, invoices, payment receipts, etc.) for repairs to the house for the relevant time period
Divorce or legal separation of borrowers unrelated by marriage, civil union or similar domestic partnership
under applicable law
x Send divorce decree/separation agreement signed by the court OR
x Send current credit report evidencing divorce, separation, or non-occupying borrower has a different
address OR
x Send recorded Quit Claim Deed evidencing that the non-occupying borrower or co-borrower has
relinquished all rights to the property
Death of a borrower or death of either the primary or secondary wage earner in the household
x Send death certificate OR
x Send obituary or newspaper article reporting the death
Medical Illness / Medical Expenses
Long-term or Permanent Disability: serious illness of borrower/co-borrower or dependent family member
x Send proof of monthly insurance benefits or government assistance (if applicable) OR
x Send written statement or other documentation verifying disability or illness OR
x Send doctor’s certificate of illness or disability OR
x Send medical bills
Note: None of the above shall require providing detailed medical information
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 13 of 22
HARDSHIP REASONS AND DOCUMENTATION (Continued)
Disaster (natural or man-made) adversely impacting the property or borrower’s place of employment
x Send insurance claim OR
x Send Federal Emergency Management Agency grant or Small Business Administration loan OR
x Send borrower or employer located in a federally declared disaster area
Distant Employment Transfer/Relocation
For active-duty Servicemembers:
x Send notice of Permanent Change of Station (PCS) or actual PCS orders.
For employment transfers/new employment:
x Send copy of signed offer letter or notice from employer showing transfer to a new employment location
OR
x Send pay stub from new employer
In addition to the above, we must have the documentation that reflects the amount of any relocation assistance
provided, if applicable (not required for those with PCS orders)
Business Failure
x Complete, signed individual federal income tax return and, as applicable, the business tax return AND
x Send proof of business failure supported by one of the following:
- Bankruptcy filing for the business OR
- Two months most recent business bank statements evidencing cessation of business activity OR
- Most recent signed and dated quarterly or year-to-date profit and loss statement
Other: A hardship that is not covered above
x Send written explanation describing the details of the hardship (a hardship letter) and relevant supporting
documentation
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 14 of 22
Explanation / Hardship Letter (can be written here or a separate typed letter can be included):
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 15 of 22
Form
4506-T
(March 2019)
Department of the Treasury
Internal Revenue Service
Request for Transcript of Tax Return
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Do not sign this form unless all applicable lines have been completed.
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Request may be rejected if the form is incomplete or illegible.
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For more information about Form 4506-T, visit www.irs.gov/form4506t.
OMB No. 1545-1872
Tip. Use Form 4506-T to order a transcript or other return information free of charge. See the product list below. You can quickly request transcripts by using
our automated self-help service tools. Please visit us at IRS.gov and click on “Get a Tax Transcript...” under “Tools” or call 1-800-908-9946. If you need a copy
of your return, use Form 4506, Request for Copy of Tax Return. There is a fee to get a copy of your return.
1a Name shown on tax return. If a joint return, enter the name
shown first.
1b First social security number on tax return, individual taxpayer identification
number, or employer identification number (see instructions)
2a If a joint return, enter spouse’s name shown on tax return.
2b Second social security number or individual taxpayer
identification number if joint tax return
3 Current name, address (including apt., room, or suite no.), city, state, and ZIP code (see instructions)
4 Previous address shown on the last return filed if different from line 3 (see instructions)
5a If the transcript or tax information is to be mailed to a third party (such as a mortgage company), enter the third party’s name, address,
and telephone number.
5b Customer file number (if applicable) (see instructions)
Caution: If the tax transcript is being mailed to a third party, ensure that you have filled in lines 6 through 9 before signing. Sign and date the form once
you have filled in these lines. Completing these steps helps to protect your privacy. Once the IRS discloses your tax transcript to the third party listed
on line 5a, the IRS has no control over what the third party does with the information. If you would like to limit the third party’s authority to disclose
your transcript information, you can specify this limitation in your written agreement with the third party.
6
Transcript requested. Enter the tax form number here (1040, 1065, 1120, etc.) and check the appropriate box below. Enter only one tax form
number per request.
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a Return Transcript, which includes most of the line items of a tax return as filed with the IRS. A tax return transcript does not reflect
changes made to the account after the return is processed. Transcripts are only available for the following returns: Form 1040 series,
Form 1065, Form 1120, Form 1120-A, Form 1120-H, Form 1120-L, and Form 1120S. Return transcripts are available for the current year
and returns processed during the prior 3 processing years. Most requests will be processed within 10 business days . . . . . .
b
Account Transcript, which contains information on the financial status of the account, such as payments made on the account, penalty
assessments, and adjustments made by you or the IRS after the return was filed. Return information is limited to items such as tax liability
and estimated tax payments. Account transcripts are available for most returns. Most requests will be processed within 10 business days .
c Record of Account, which provides the most detailed information as it is a combination of the Return Transcript and the Account
Transcript. Available for current year and 3 prior tax years. Most requests will be processed within 10 business days . . . . . .
7 Verification of Nonfiling, which is proof from the IRS that you did not file a return for the year. Current year requests are only available
after June 15th. There are no availability restrictions on prior year requests. Most requests will be processed within 10 business days . .
8
Form W-2, Form 1099 series, Form 1098 series, or Form 5498 series transcript. The IRS can provide a transcript that includes data from
these information returns. State or local information is not included with the Form W-2 information. The IRS may be able to provide this
transcript information for up to 10 years. Information for the current year is generally not available until the year after it is filed with the IRS. For
example, W-2 information for 2011, filed in 2012, will likely not be available from the IRS until 2013. If you need W-2 information for retirement
purposes, you should contact the Social Security Administration at 1-800-772-1213. Most requests will be processed within 10 business days .
Caution: If you need a copy of Form W-2 or Form 1099, you should first contact the payer. To get a copy of the Form W-2 or Form 1099 filed
with your return, you must use Form 4506 and request a copy of your return, which includes all attachments.
9 Year or period requested. Enter the ending date of the year or period, using the mm/dd/yyyy format. If you are requesting more than four
years or periods, you must attach another Form 4506-T. For requests relating to quarterly tax returns, such as Form 941, you must enter
each quarter or tax period separately.
Caution: Do not sign this form unless all applicable lines have been completed.
Signature of taxpayer(s). I declare that I am either the taxpayer whose name is shown on line 1a or 2a, or a person authorized to obtain the tax
information requested. If the request applies to a joint return, at least one spouse must sign. If signed by a corporate officer, 1 percent or more
shareholder, partner, managing member, guardian, tax matters partner, executor, receiver, administrator, trustee, or party other than the taxpayer, I
certify that I have the authority to execute Form 4506-T on behalf of the taxpayer. Note: This form must be received by IRS within 120 days of the
signature date.
Signatory attests that he/she has read the attestation clause and upon so reading declares that he/she
has the authority to sign the Form 4506-T. See instructions.
Phone number of taxpayer on line
1a or 2a
Sign
Here
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Signature (see instructions) Date
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Title (if line 1a above is a corporation, partnership, estate, or trust)
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Spouse’s signature Date
For Privacy Act and Paperwork Reduction Act Notice, see page 2.
Cat. No. 37667N
Form 4506-T (Rev. 3-2019)
/ / / / / / / /
click to sign
signature
click to edit
click to sign
signature
click to edit
Form 4506-T (Rev. 3-2019)
Page 2
Section references are to the Internal Revenue Code unless
otherwise noted.
Future Developments
For the latest information about Form 4506-T and its
instructions, go to www.irs.gov/form4506t. Information about
any recent developments affecting Form 4506-T (such as
legislation enacted after we released it) will be posted on that
page.
What's New. The transcripts provided by the IRS have been
modified to protect taxpayers' privacy. Transcripts only
display partial personal information, such as the last four
digits of the taxpayer's Social Security Number. Full financial
and tax information, such as wages and taxable income, is
shown on the transcript.
A new optional Customer File Number field is available to use
when requesting a transcript. You have the option of
inputting a number, such as a loan number, in this field. You
can input up to 10 numeric characters. The customer file
number should not contain an SSN. This number will print on
the transcript. The customer file number is an optional field
and not required.
General Instructions
Caution: Do not sign this form unless all applicable lines
have been completed.
Purpose of form. Use Form 4506-T to request tax return
information. You can also designate (on line 5a) a third party
to receive the information. Taxpayers using a tax year
beginning in one calendar year and ending in the following
year (fiscal tax year) must file Form 4506-T to request a return
transcript.
Note: If you are unsure of which type of transcript you need,
request the Record of Account, as it provides the most
detailed information.
Tip. Use Form 4506, Request for Copy of
Tax Return, to request copies of tax returns.
Automated transcript request. You can quickly request
transcripts by using our automated
self-help service tools. Please visit us at IRS.gov and click on
“Get a Tax Transcript...” under “Tools” or call
1-800-908-9946.
Where to file. Mail or fax Form 4506-T to
the address below for the state you lived in,
or the state your business was in, when that return was filed.
There are two address charts: one for individual transcripts
(Form 1040 series and Form W-2) and one for all other
transcripts.
If you are requesting more than one transcript or other
product and the chart below shows two different addresses,
send your request to the address based on the address of
your most recent return.
Chart for individual transcripts
(Form 1040 series and Form W-2
and Form 1099)
If you filed an
individual return and
lived in:
Mail or fax to:
Alabama, Kentucky, Louisiana,
Mississippi, Tennessee,
Texas, a foreign country,
American Samoa, Puerto Rico,
Guam, the Commonwealth of
the Northern Mariana Islands,
the U.S. Virgin Islands, or
A.P.O. or F.P.O. address
Internal Revenue Service
RAIVS Team
Stop 6716 AUSC
Austin, TX 73301
855-587-9604
Alaska, Arizona, Arkansas,
California, Colorado, Hawaii,
Idaho, Illinois, Indiana, Iowa,
Kansas, Michigan, Minnesota,
Montana, Nebraska, Nevada,
New Mexico, North Dakota,
Oklahoma, Oregon, South
Dakota, Utah, Washington,
Wisconsin, Wyoming
Internal Revenue Service
RAIVS Team
Stop 37106
Fresno, CA 93888
855-800-8105
Connecticut, Delaware, District
of Columbia, Florida, Georgia,
Maine, Maryland,
Massachusetts, Missouri, New
Hampshire, New Jersey, New
York, North Carolina, Ohio,
Pennsylvania, Rhode Island,
South Carolina, Vermont,
Virginia, West Virginia
Internal Revenue Service
RAIVS Team
Stop 6705 S-2
Kansas City, MO 64999
855-821-0094
Chart for all other transcripts
If you lived in
or your business was
in:
Mail or fax to:
Alabama, Alaska, Arizona,
Arkansas, California,
Colorado, Connecticut,
Delaware, District of
Columbia, Florida, Georgia,
Hawaii, Idaho, Illinois,
Indiana, Iowa, Kansas,
Kentucky, Louisiana,
Maryland, Michigan,
Minnesota, Mississippi,
Missouri, Montana,
Nebraska, Nevada, New
Jersey, New Mexico, North
Carolina, North Dakota, Ohio,
Oklahoma, Oregon, Rhode
Island, South Carolina, South
Dakota, Tennessee, Texas,
Utah, Virginia, Washington,
West Virginia, Wisconsin,
Wyoming, a foreign country,
American Samoa, Puerto
Rico, Guam, the
Commonwealth of the
Northern Mariana Islands,
the U.S. Virgin Islands,
A.P.O. or F.P.O. address
Internal Revenue Service
RAIVS Team
P.O. Box 9941
Mail Stop 6734
Ogden, UT 84409
855-298-1145
Maine, Massachusetts, New
Hampshire, New York,
Pennsylvania, Vermont
Internal Revenue Service
RAIVS Team
Stop 6705 S-2
Kansas City, MO 64999
855-821-0094
Line 1b. Enter your employer identification number (EIN) if
your request relates to a business return. Otherwise, enter the
first social security number (SSN) or your individual taxpayer
identification number (ITIN) shown on the return. For
example, if you are requesting Form 1040 that includes
Schedule C (Form 1040), enter your SSN.
Line 3. Enter your current address. If you use a P.O. box,
include it on this line.
Line 4. Enter the address shown on the last return filed if
different from the address entered on line 3.
Note: If the addresses on lines 3 and 4 are different and you
have not changed your address with the IRS, file Form 8822,
Change of Address. For a business address, file Form 8822-
B, Change of Address or Responsible Party — Business.
Line 5b. Enter up to 10 numeric characters to create a unique
customer file number that will appear on the transcript. The
customer file number should not contain an SSN.
Completion of this line is not required.
Note. If you use an SSN, name or combination of both, we
will not input the information and the customer file number
will be blank on the transcript.
Line 6. Enter only one tax form number per
request.
Signature and date. Form 4506-T must be signed and dated
by the taxpayer listed on line 1a or 2a. The IRS must receive
Form 4506-T within 120 days of the date signed by the
taxpayer or it will be rejected. Ensure that all applicable lines
are completed before signing.
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!
CAUTION
You must check the box in the signature area
to acknowledge you have the authority to sign
and request the information. The form will not
be processed and returned to you if the
box is unchecked.
Individuals. Transcripts of jointly filed tax returns may be
furnished to either spouse. Only one signature is required.
Sign Form 4506-T exactly as your name appeared on the
original return. If you changed your name, also sign your
current name.
Corporations. Generally, Form 4506-T can be signed by:
(1) an officer having legal authority to bind the corporation, (2)
any person designated by the board of directors or other
governing body, or (3) any officer or employee on written
request by any principal officer and attested to by the
secretary or other officer. A bona fide shareholder of record
owning 1 percent or more of the outstanding stock of the
corporation may submit a Form 4506-T but must provide
documentation to support the requester's right to receive the
information.
Partnerships. Generally, Form 4506-T can be signed by
any person who was a member of the partnership during any
part of the tax period requested on line 9.
All others. See section 6103(e) if the taxpayer has died, is
insolvent, is a dissolved corporation, or if a trustee, guardian,
executor, receiver, or administrator is acting for the taxpayer.
Note: If you are Heir at law, Next of kin, or Beneficiary you
must be able to establish a material interest in the estate or
trust.
Documentation. For entities other than individuals, you
must attach the authorization document. For example, this
could be the letter from the principal officer authorizing an
employee of the corporation or the letters testamentary
authorizing an individual to act for an estate.
Signature by a representative. A representative can sign
Form 4506-T for a taxpayer only if the taxpayer has
specifically delegated this authority to the representative on
Form 2848, line 5. The representative must attach Form 2848
showing the delegation to Form 4506-T.
Privacy Act and Paperwork Reduction Act Notice. We ask
for the information on this form to establish your right to gain
access to the requested tax information under the Internal
Revenue Code. We need this information to properly identify
the tax information and respond to your request. You are not
required to request any transcript; if you do request a
transcript, sections 6103 and 6109 and their regulations
require you to provide this information, including your SSN or
EIN. If you do not provide this information, we may not be
able to process your request. Providing false or fraudulent
information may subject you to penalties.
Routine uses of this information include giving it to the
Department of Justice for civil and criminal litigation, and
cities, states, the District of Columbia, and U.S.
commonwealths and possessions for use in administering
their tax laws. We may also disclose this information to other
countries under a tax treaty, to federal and state agencies to
enforce federal nontax criminal laws, or to federal law
enforcement and intelligence agencies to combat terrorism.
You are not required to provide the information requested
on a form that is subject to the Paperwork Reduction Act
unless the form displays a valid OMB control number. Books
or records relating to a form or its instructions must be
retained as long as their contents may become material in the
administration of any Internal Revenue law. Generally, tax
returns and return information are confidential, as required by
section 6103.
The time needed to complete and file Form 4506-T will
vary depending on individual circumstances. The estimated
average time is: Learning about the law or the form, 10
min.; Preparing the form, 12 min.; and Copying,
assembling, and sending the form to the IRS, 20 min.
If you have comments concerning the accuracy of these
time estimates or suggestions for making Form 4506-T
simpler, we would be happy to hear from you. You can write
to:
Internal Revenue Service
Tax Forms and Publications Division
1111 Constitution Ave. NW, IR-6526
Washington, DC 20224
Do not send the form to this address. Instead, see Where
to file on this page.
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 18 of 22
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 19 of 22
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 20 of 22
Service members Civil Relief U.S. Department of Housing OMB Approval 2502-0584
Act Notice Disclosure and Urban Development Exp 3/31/2021
Office of Housing
Legal Rights and Pro
tections Under the SCRA
Service members on "active duty" or "active service," or a spouse or dependent of such a service member maybe entitled to certain legal
protections and debt relief pursuant to the Service Members Civil Relief Act (50 USC §§ 3901-4043) (SCRA).
Who May Be Entitled to Legal Protections Under the SCRA?
• Regular members of the U.S. Armed Forces (Army, Navy, Air Force Marine Corps and Coast Guard).
• Reserve and National Guard personnel who have been activated and are on Federal active duty
• National Guard personnel under a call or order to active duty for more than 30 consecutive days under section 502(f) of title 32, United States
Code, for purposes of responding to a national emergency declared by the President and supported by Federal funds
• Active service members of the commissioned corps of the Public Health Service and the National Oceanic and Atmospheric Administration.
• Certain United States citizens serving with the armed forces of a nation with which the United States is allied in the prosecution of a war or
military action.
What Legal Protections Are Service Members Entitled to Under the SCRA?
• The SCRA states that a debt incurred by a service member, or service member and spouse jointly, prior to entering military service shall not
bear interest at a rate above 6 % during the period of military service and one year thereafter, in the case of an obligation or liability consisting of
a mortgage, trust deed, or other security in the nature of a mortgage, or during the period of military service in the case of any other obligation or
liability
.
• The SCRA states that in a legal action to enforce a debt against real estate that is filed during, or within one year after the service member's
military service, a court may stop the proceedings for a period of time, or adjust the debt. In addition, the sale, foreclosure, or seizure of real
estate shall not be valid if it occurs during or within one year after the service member's military service unless the creditor has obtained a valid
court order approving the sale, foreclosure, or seizure of the real estate.
• The SCRA contains many other protections besides those applicable to home loans.
How Does a Service Member or Dependent Request Relief Under the SCRA?
• In order to request relief under the SCRA from loans with interest rates above 6% a service member or spouse must provide a written request to
the lender, together with a copy of the service member's military orders. Virginia Housing Development Authority, 601 S. Belvidere Street,
Richmond, VA 23220, 1800-235-7638
• There is no requirement under the SCRA, however, for a service member to provide a written notice or a copy of a service member's military
orders to the lender in connection with a foreclosure or other debt enforcement action against real estate. Under these circumstances, lenders
should inquire about the military status of a person by searching the Department of Defense's Defense Manpower Data Center's website,
contacting the service member, and examining their files for indicia of military service. Although there is no requirement for service members to
alert the lender of their military status in these situations, it still is a good idea for the service member to do so.
How Does a Service Member or Dependent Obtain Information About the SCRA?
• Service members and dependents with questions about the SCRA should contact their unit's Judge Advocate, or their installation's Legal
Assistance Officer. A military legal assistance office locator for all branches of the Armed Forces is available at http://legalassistance.law.e.
mil/content/locator. Php
• "Military OneSource" is the U. S. Department of Defense's information resource. If you are listed as entitled to legal protections under the
SCRA (see above), please go to www.militaryonesource.mil/legal or call 1-800- 342-9647 (toll free from the Unites States) to find out more
information. Dialing instructions for areas outside the United States are provided on the website.
form HUD-92070
(6/2017)
VHDA April 2009 / FM / Revised October 2019 (BMJ))
Page 21 of 22
VHDA April 2009 / FM / Revised October 2019 (BMJ)
Page 22 of 22
Beware of Foreclosure Rescue Scams. Help is free!
x There is never a fee to get assistance or information about the Making
Home Affordable Program from your lender or a HUD-approved
housing counselor.
x For a HUD-approved counselor visit:
http://www.hud.gov/offices/hsg/sfh/hcc/fc/
x Beware of any person or organization that asks you to pay a fee in
exchange for housing counseling services.
x Beware of anyone who says they can “save” your home if you sign or
transfer over the deed to your house. Do not sign over the deed to
your property to any organization or individual unless you are working
directly with your mortgage company to forgive your debt.
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BORROWERS ASSISTANCE PACKAGE (Virginia Housing)

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Completed 13 February 2021

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