EmailMeForm
Mortgage Document Upload Form
Please use this form to upload images of your documentation.
(Allowed file types: pdf, doc, docx, zip, jpg, jpeg, png, gif.)
Name
*
First
Last
Phone
*
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County
*
Champaign County
Delaware County
Logan County
Madison County
Shelby County
Union County
Image of Drivers License or State ID
*
Add File
Image of Social Security Cards for all household members
Add File
Image of Birth Certificates for all household members
Add File
Image of Last 90 days of income
Add File
Check stubs with gross amounts from wages, SSI, SSDI, TANF, Child Support, 1099 for self-employment, odd jobs, etc.
Image of Mortgage Statement (most current)
Add File
Letter of support from anyone who has provided financial support (family, friend, church, etc.)
Add File
Proof of hardship
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Loss of job, hospitalization, leave from employer, eviction, disconnect notice, etc.
Proof of pledge from other agencies (if applicable)
Add File
Food Stamp print out (if applicable)
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Medical documentation (Medicaid)
Add File
Any documentation pertinent to hardship
Add File
Discharge paperwork from hospital, copy of bills, receipt of payment, etc.
Bank Statements (1 months)
Add File
Rent Ledger (Get copy from landlord)
Add File
Letter of separation from employer
Add File
If no longer employed / letter must be from employer and state start date and last date worked.
I agree to terms & conditions.
*
Yes
No
Signature
*
Clear
