Loss-Mitigation Request - By Debtor
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Loss-Mitigation Request - By Debtor Form. This is a New York form and can be use in Bankruptcy Court Federal.
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Tags: Loss-Mitigation Request - By Debtor, New York Federal, Bankruptcy Court
UNITED STATES BANKRUPTCY COURT
EASTERN DISTRICT OF NEW YORK
------------------------------------------------------X
In Re:
Chapter
Case No.
Debtor(s)
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LOSS MITIGATION REQUEST - BY DEBTOR
I am a Debtor in this case. I hereby request to enter into the Loss Mitigation Program
with respect to [Identify the property, loan and creditor(s) for which you are requesting
loss mitigation]:
_________________________________________________________________________
[Identify the Property]
_________________________________________________________________________
[Loan Number]
_________________________________________________________________________
[Creditor’s Name and Address]
SIGNATURE
I understand that if the Court orders loss mitigation in this case, I will be expected to
comply with the Loss Mitigation Procedures. I agree to comply with the Loss Mitigation
Procedures, and I will participate in the Loss Mitigation Program in good faith. I
understand that loss mitigation is voluntary for all parties, and that I am not required to
enter into any agreement or settlement with any other party as part of entry into the Loss
Mitigation Program. I also understand that no other party is required to enter into any
agreement or settlement with me. I understand that I am not required to request dismissal
of this case as part of any resolution or settlement that is offered or agreed to during the
Loss Mitigation Period.
Sign: _____________________________
Date: _______________________, 20______
Print Name: ______________________________________________________________
[First and Last Name]
Telephone Number: ________________________________________________________
[i.e. 999-999-9999]
E-mail Address [if any]: ____________________________________________________
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