Debtor Loss Mitigation Affidavit
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Debtor Loss Mitigation Affidavit Form. This is a New York form and can be use in Bankruptcy Court Federal.
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Tags: Debtor Loss Mitigation Affidavit, New York Federal, Bankruptcy Court
UNITED STATES BANKRUPTCY COURT
SOUTHERN DISTRICT OF NEW YORK
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In re:
Chapter
Case No.
-
( )
Debtor(s).
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DEBTOR LOSS MITIGATION AFFIDAVIT
STATE OF NEW YORK
COUNTY OF
I,
)
)ss.:
)
, being sworn, say:
I am not a party to this action, am over 18 years of age and reside in
, New York.
On
, I served a true and completed copy of the Financial Packet, including the
following documents:
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 (first class mail, facsimile or email) at the following addresses:
(first class mail, facsimile or email)
Please be advised that the loss mitigation contact is as follows:
Name: __________________________________________________
Title: __________________________________________________
Phone
Number:
Fax
Number: ____________________________________________
Em
Dated:
____________________________________________
ail Address:
,
____________________________________________
New York
, 20
Sworn to before me this
day of
, 20
Notary Public, State of New York
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