Creditor Loss Mitigation
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Creditor Loss Mitigation Form. This is a New York form and can be use in Bankruptcy Court Federal.
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Tags: Creditor Loss Mitigation, New York Federal, Bankruptcy Court
UNITED STATES BANKRUPTCY COURT
SOUTHERN DISTRICT OF NEW YORK
------------------------------------------------------------------x
In re:
Chapter
Case No. - ( )
Debtor(s).
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CREDITOR LOSS MITIGATION AFFIDAVIT
STATE OF
)
)ss.:
)
COUNTY OF
I,
,
being sworn, say:
I am not a party to this action, am over 18 years of age and reside in
.
On
following documents:
, I served a true copy of the Financial Packet and a request f or the
A copy of the Debtor’s(s’) two (2) most recent federal income tax returns;
A copy of t he Debtor’s(s’) last two (2) pa ycheck stubs, proof of social security
income, pensions, or any other income received by the Debtor(s);
Or, if Debtor(s) is/are self employed:
A copy of the Debtor’s(s’) business’s two (2) most recent months’ Profit and Loss
Statements, setting forth a breakdown of the
monthly business incom e and expenses for the
months of
;
A copy of the Mortgagee’s completed Financial Worksheet;
Proof of Second/Third Party Incom e by Affi davit of the party, including the
party’s last two (2) paycheck stubs,
Other (please specify):
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upon the following parties via
addresses:
(first class mail, facsimile oror em
(first class m ail, facsi mile email)
at the following
Please be advised that the loss mitigation contact is as follows:
Name: __________________________________________________
Title: __________________________________________________
Phone Number:
____________________________________________
Fax Number: ____________________________________________
Email Address:
Dated:
,
____________________________________________
New York
, 20
Sworn to before me this
day of
, 20
Notary Public, State of New York
2
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