Borrower Name: SSN: DOB: Co-Borrower Name: SSN: DOB: Property Address:

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1 Homeowner Intake Form Please print clearly and fill out all fields. I am interested in : Mortgage Default Prevention or Counseling Refinancing Reverse Mortgage Who Referred You? Scheduled Sale Date (If Applicable): I. Contact Information Borrower Name: SSN: DOB: Co-Borrower Name: SSN: DOB: Property Address: City, State ZIP: Is this your primary residence (Do you currently reside at this address)? Yes No County: Home Phone: Cell Phone: Work Phone: ll. Demographic Information Borrower: Gender M F Disabled? Yes No Household Head? Yes No Marital Status: Single Domestic Partner Married Divorced Widowed Other Education: No High School Diploma/GED High School Diploma/GED Some College Associates Degree Bachelor s Degree Master s Degree Doctoral Degree Co-Borrower: Gender M F Disabled? Yes No Household Head? Yes No Marital Status: Single Domestic Partner Married Divorced Widowed Other Education: No High School Diploma/GED High School Diploma/GED Some College Associates Degree Bachelor s Degree Master s Degree Doctoral Degree Family Size: Dependents: Ethnicity: (Borrower) Hispanic Non-Hispanic (Co-Borrower) Hispanic Non-Hispanic Race Check one only for Borrower (B) and Co-Borrower (C): B C B C American Indian / Alaskan Native Asian Black or African-American Native Hawaiian or other Pacific Islander White American Indian or Alaska Native and White Asian and White Black or African-American and White American Indian or Alaska Native and Black or African Other American Multiple Race III. Delinquency Description (Please fill out even if you are not delinquent) How many days past due? Current Total arrears $ Amt. saved to put toward arrears $ Has your lender initiated foreclosure? Yes No If so, when is the foreclosure auction date? Reason for delinquency: Reduction in income Poor budget management skills Loss of Income Medical Issues Increase in expenses Divorce/separation Death of family member Business venture failed Increase in loan payment Other 1 Client ID#

2 IV. First Mortgage Information Current Lender/Servicer: Loan #: When was loan originated (closed) mo/yr: / Current home value $ PITI (Principle, Interest, Taxes & Insurance) monthly $ Interest rate: % Mortgage Type: FHA VA Conventional Privately-held USDA Type of interest rate: Fixed Adjustable (ARM) N/A Interest only payments? Yes No N/A V. Mandatory Mortgage Questions Have you submitted a financial package to your mortgage company? Yes No When - (MM/YY): / Have you received a modification in the most recent 12 months? Yes No When - (MM/YY): / Have you ever refinanced your loan and taken cash out in the process? Yes No Has anyone contacted you offering assistance to modify your mortgage? Yes No If you answered Yes to the above question, please answer the questions below: - Were you guaranteed a loan modification? Yes No - Were you asked to pay a fee, sign a contract, redirect mortgage payments, sign over title to property, or stop making loan payments? Yes No VI. Household Income Gross Monthly Income Net Monthly Income Hire Date MM/DD/YY Enter employer name or Description of Income Borrower $ $ / / Co-Borrower $ $ / / Non-Contributor $ $ / / Social Security $ $ Other 1 $ $ Other 2 $ $ Total Monthly Income $ $ VII. Assets or Funds Available Type (Savings and Checking) Balance Institution Name 1. $ 2. $ 3. $ Total Balance $ 2 Client ID#

3 Borrower Name: Signature Date Co-Borrower Name: Signature Date MONTHLY INCOME & EXPENSE RECORD EXPENSES MONTHLY NOTES 1st Mortgage 2nd Mortgage Property Taxes (If not included in mortgage payment) Homeowners Insurance (If not included in mortgage payment) HOA (Homeowners Association) Fees Gas/Oil (for heating house) MONTHLY AVERAGE Electric MONTHLY AVERAGE Water & Sewage MONTHLY AVERAGE Cable/Internet/Phone Cell Phone Auto Payment 1 with Auto Payment 2 with Car Insurance Gas/Transportation Auto Maintenance Educational Expenses/College Fund Installment Loan with Installment Loan with Installment Loan with Installment Loan with Charge Account with Charge Account with Charge Account with Charge Account with Food/Groceries Medical (not deducted from payroll-i.e. co-pays, prescriptions) Daycare Child Support/Alimony (not deducted from payroll) Kids Lunch/Allowances Life Insurance Pet Related Expenses Restaurants Church (Religious Donations) Miscellaneous/Other Expenses Total Expenses (For Counselor Use Only): Total Net Income (For Counselor Use Only): Net Surplus/Deficit (For Counselor Use Only): 3 Client ID#

4 Certification & Authorization Form (Please Print) Name: Social Security No.: Date of Birth: Address: Spouse Name: (If Applicable) Social Security No.: Date of Birth: I/We Hereby authorize Frameworks Community Development Corporation, Inc. and/or its assigned agents to order a consumer credit report on me/us and discuss my/our current situation with appropriate lenders and other professionals. It is understood that the information on my/our report will be used as necessary to evaluate my/our acceptance into foreclosure prevention program. Frameworks Community Development Corporation, Inc. and its agents may obtain any or all documentation or information that they request for investigation and submission into their programs. No other use of my/our credit information is authorized by me/us. I understand that Frameworks Community Development Corporation, Inc. agent provides foreclosure mitigation counseling after which I will receive a written action plan consisting of recommendations for handling my finances, possibly including referrals to other housing agencies as appropriate. I understand that Frameworks Community Development Corporation, Inc. receives Congressional funds through the National Foreclosure Mitigation Counseling (NFMC) program and, as such, is required to share some of my personal information with NFMC program administrators or their agents for purposes of program monitoring, compliance and evaluation. I give permission for NFMC program administrators and/or their agents to follow-up with me within the next three years for the purposes of program evaluation I may be referred to other housing services of the organization or another agency for agencies as appropriate that may be able to assist with particular concerns that have been identified. I understand that I am not obligated to use any of the services offered to me. A counselor may answer questions and provide information, but not give legal advice. If I want legal advice, I will be referred for appropriate assistance. I understand that Frameworks Community Development Corporation, Inc. agent provides information and education on numerous loan products and housing programs and I further understand that the housing counseling I receive from Frameworks Community Development Corporation, Inc. agent in no way obligates me to choose any of these particular loan products or housing programs. BY signing below, you acknowledge you have read this disclosure(s) and have received a copy of Frameworks Community Development Corporation, Inc. privacy policy to participate in this program. Signed: Signed: Date: Date: 4 Client ID#

5 NFMC Client Privacy Policy Frameworks Community Development Corporation, Inc. and its agents are committed to assuring the privacy of individuals and/or families who have contacted us for assistance. We realize that the concerns you bring to us are highly personal in nature. We assure you that all information shared both orally and in writing will be managed within legal and ethical considerations. Your nonpublic personal information, such as your total debt information, income, living expenses and personal information concerning your financial circumstances, will be provided to creditors, program monitors, and others only with your authorization and signature on the Certification and Authorization Agreement. We may also use anonymous aggregated case file information for the purpose of evaluating our services, gathering valuable research information and designing future programs. Types of information that we gather about you Information we receive from you orally, on applications or other forms, such as your name, address, social security number, assets, and income; Information about your transactions with us, your creditors, or others, such as your account balance, payment history, parties to transactions and credit card usage; and Information we receive from a credit reporting agency, such as your credit history. You may opt-out of certain disclosures 1. You have the opportunity to opt-out of disclosures of your nonpublic personal information to third parties (such as your creditors), that is, direct us not to make those disclosures. 2. If you choose to opt-out, we will not be able to answer questions from your creditors. If at any time, you wish to change your decision with regard to your opt-out, you may call us at (phone number) and do so. Release of your information to third parties 1. So long as you have not opted-out, we may disclose some or all of the information that we collect, as described above, to your creditors or third parties where we have determined that it would be helpful to you, would aid us in counseling you, or is a requirement of grant awards that make our services possible. 2. We may also disclose any nonpublic personal information about you or former customers to anyone as permitted by law (e.g., if we are compelled by legal process). 3. Within the organization, we restrict access to nonpublic personal information about you to those employees who need to know that information to provide services to you. We maintain physical, electronic and procedural safeguards that comply with federal regulations to guard your nonpublic personal information. Signed: Signed: Date: Date: 5 Client ID#

6 Client/Counselor Contract Frameworks CDC and its counselors agree to provide the following services: Development of a spending plan Analysis of the mortgage default, including the amount and cause of default Presentation and explanation of reasonable options available to the homeowner Assistance communicating with the mortgage servicer and other creditors Timely completion of promised action Explanation of collection and foreclosure process Identification of assistance resources Referrals to needed resources Confidentiality, honesty, respect and professionalism in all services I/We, agree to the following terms of service: I/We will always provide honest and complete information to my/our counselor, whether verbally or in writing. I/We will provide all necessary documentation and follow-up information within the timeframe requested. I/We will be on time for appointments and understand that if we are late for an appointment, the appointment will still end at the scheduled time. I/We will call within 6 hours of a scheduled appointment if I/we will be unable to attend an appointment. I/We will contact the counselor about any changes in our situation immediately. I/We understand that breaking this agreement may cause the counseling organization to sever its service assistance to me/us. Homeowner Date Homeowner Date Counselor Date 6 Client ID#

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9 HELP FOR AMERICA S HOMEOWNERS Dodd-Frank Certification The following information is requested by the federal government in accordance with the Dodd-Frank Wall Street Reform and Consumer Protection Act (Pub. L ). You are required to furnish this information. The law provides that no person shall be eligible to begin receiving assistance from the Making Home Affordable Program, authorized under the Emergency Economic Stabilization Act of 2008 (12 U.S.C et seq.), or any other mortgage assistance program authorized or funded by that Act, if such person, in connection with a mortgage or real estate transaction, has been convicted, within the last 10 years, of any one of the following: (A) felony larceny, theft, fraud, or forgery, (B) money laundering or (C) tax evasion. I/we certify under penalty of perjury that I/we have not been convicted within the last 10 years of any one of the following in connection with a mortgage or real estate transaction: (a) felony larceny, theft, fraud, or forgery, (b) money laundering or (c) tax evasion. I/we understand that the servicer, the U.S. Department of the Treasury, or their agents may investigate the accuracy of my statements by performing routine background checks, including automated searches of federal, state and county databases, to confirm that I/we have not been convicted of such crimes. I/we also understand that knowingly submitting false information may violate Federal law. This Certificate is effective on the earlier of the date listed below or the date received by your servicer. Borrower Signature Social Security Number Date of Birth Date Co-Borrower Signature Social Security Number Date of Birth Date

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11 AUTHORIZATION TO RELEASE INFORMATION Client Name Social Security # Client Name Social Security # Address Loan # (Servicer/Mortgage Company) Housing Counselor(s) I/We authorize: Frameworks Community Development Corporation (hereinafter Frameworks CDC ) in Austin, TX, EIN # , HUD # and its representatives to speak with my/our lender and with whomever has servicing responsibilities for my/our loan and to provide to such parties documentation on my/our behalf regarding my/our loan. the lender and/or servicer handling my/our loan to discuss my/our loan with Frameworks CDC. the lender and/or servicer handling my/our loan to notify Frameworks CDC in the event that my/our loan payments become delinquent in the future, if the lender or servicer chooses to provide such notification. Frameworks CDC agrees to maintain confidentiality of borrower(s) information. This authorization will not be valid unless signed below and will remain valid only until revoked in writing by any borrower or co-borrower named above. Client Signature: Date: Client Signature: Date: T F TILLERY STREET, SUITE A-7B AUSTIN, TX INFO@FRAMEWORKSCDC.ORG

12 Page 1 of 2 9/22/2011 FRAMEWORKS COMMUNITY DEVELOPMENT CORPORATION CREDIT PLUS 701 TILLERY ST STE A-7B # WINTERPLACE PARK AUSTIN, TX SALISBURY, MD Fax: (800) BORROWER SIGNATURE AUTHORIZATION FORM I/We hereby authorize FRAMEWORKS COMMUNITY DEVELOPMENT CORPORATION to verify my past and present employment earnings records, bank accounts, stockholdings, and any other asset balances that are needed to process my mortgage loan application. I/We further authorize FRAMEWORKS COMMUNITY DEVELOPMENT CORPORATION to order a consumer credit report and verify other credit information, including past and present mortgages, landlord references, and release or disclose personal health information. FRAMEWORKS COMMUNITY DEVELOPMENT CORPORATION may also utilize the services of CREDIT PLUS to further verify my personal credit information and the information FRAMEWORKS COMMUNITY DEVELOPMENT CORPORATION obtains is only to be used in the processing of my application for a mortgage loan. It is understood that a copy of this form will also serve as authorization. This authorization expires 120 days from the date indicated below. Privacy Act Notice: This information is to be used by the agency collecting it or its assignees in determining whether you qualify as a prospective mortgagor under its program. It will not be disclosed outside the agency except as required and permitted by law. You do not have to provide this information, but if you do not your application for approval as a prospective mortgagor or borrower may be delayed or rejected. The information requested in this form is authorized by Title 38, USC, Chapter 37 (if VA); by 12 USC, Section 1701 et. seq. (if HUD/FHA); by 42 USC, Section 1452b (if HUD/CPD); and Title 42 USC, 1471 et. seq., or 7 USC, 1921 et. seq. (if USDA/FmHA). Borrower Signature Social Security No. Date Borrower Signature Social Security No. Date Borrower Signature Social Security No. Date

13 Home Affordable Modification Program Hardship Affidavit Borrower Name (First,Middle,Last) Co-Borrower Name (First,Middle,Last) Property Street Address Property City, ST,Zip Servicer Loan Number Date Of Birth Date Of Birth In order to qualify for ( Servicer ) offer to enter into agreement to modify my loan under the federal government s Home Affordable Modification Program (the Agreement ), I/we am/are submitting this form to the Servicer and indicating by my/our check marks the one or more events that contribute to my/our difficulty making payments on my/our mortgage loan. Borrower Co-Borrower Yes No Yes No My income has been reduced or lost. For example: unemployment,underemployment, reduced job hours, reduced pay, or a decline in self employed business earnings. I have provided details below under Explanation. Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No My household financial circumstances have changed. For example: death in family, serious or chronic illness, permanent or short-term disability,increased family responsibilities (adoption or birth of a child, taking care of elderly relatives or other family members). I have provided details below under Explanation. My expenses have increased. For example: monthly mortgage payment has increased or will increase, high medical and health-care costs, uninsured losses (such as those due to fires or natural disasters), unexpectedly high utility bills, increased real property taxes. I have provided details below under My cash reserves are insufficient to maintain the payment on my mortgage loan and cover basic living expenses at the same time. Cash reserves include assets such as cash, savings, money market funds, marketable stocks or bonds (excluding retirement accounts). Cash reserves do not include assets that serve as an emergency fund (generally equal to three times my monthly debt payments). I have provided details below under Explanation. My monthly debt payments are excessive, and I am overextended with my creditors. I may have used credit cards, home equity loans or other credit to make my monthly mortgage payments. I have provided details below under Explanation. Yes No Yes No There are other reasons I/we cannot make our mortgage payments. I have provided details below under Explanation. 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 loan modification 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 Interviewer s Name (print or type) Name/Address of Interviewer s Employer Face-to-face interview Internet Mail Telephone Interviewer s Signature Date Interviewer s Phone Number (include area code)

14 Borrower/Co-Borrower Acknowledgement 1. Under penalty of perjury, I/we certify that all of the information in this affidavit is truthful and the event(s) identified above has/have contributed to my/our need to modify the terms of my/our mortgage loan. 2. I/we understand and acknowledge the Servicer may investigate the accuracy of my/our statements, may require me/us to provide supporting documentation, and that knowingly submitting false information may violate Federal law. 3. I/we understand the Servicer will pull a current credit report on all borrowers obligated on the Note 4. I/we understand that if I/we have intentionally defaulted on my/our existing mortgage, engaged in fraud or misrepresented any fact(s) in connection with this Hardship Affidavit, or if I/we do not provide all of the required documentation, the Servicer may cancel the 5. I/we certify that my/our property is owner-occupied and I/we have not received a condemnation notice. 6. I/we certify that I/we am/are willing to commit to credit counseling if it is determined that my/our financial hardship is related to excessive debt. 7. I/we certify that I/we am/are willing to provide all requested documents and to respond to all Servicer communication in a timely manner. I/we understand that time is of the essence. 8. I/we understand that the Servicer will use this information to evaluate my/our eligibility for a loan modification or other workout, but the Servicer is not obligated to offer me/us assistance based solely on the representations in this affidavit. 9. I/we authorize and consent to Servicer disclosing to the U.S. Department of Treasury or other government agency, Fannie Mae and/or Freddie Mac any information provided by me/us or retained by Servicer in connection with the Home Affordable Modification Program. Borrower Signature Date Co-Borrower Signature Date Address Cell Phone # Home Phone # Work Phone # Social Security # Address Cell Phone # Home Phone # Work Phone # Social Security # Explanation:

15 Loan # To Whom It May Concern: I am working with a non-profit 501 (c) (3) organization that counsels on pre-foreclosure by the name of Frameworks Community Development Corporation. We are working on a plan to resolve my mortgage delinquency. I herby authorize you to release any and all information concerning my account to Frameworks Community Development Corporation at their request. Your organization, is the servicer of our mortgage loan at the above noted address. We dispute the amount that is owed according to the Monthly Billing Statement and the request that you send us about the fees, costs and escrow accounting on our loan. This is a qualified written request Pursuant to the Real Estate Settlement and Procedures Act (section e)). Specifically, we are requesting an itemization of the following: A. A complete payment history, including but not limited to the dates and amounts of all the payments we have made on the loan to date; B. A breakdown of the amount of claimed arrears or delinquencies, including an itemization of all fees charged to the account; C. An explanation of how the amount due on our monthly billing statement was calculated D. The payment dates, purpose of payment and recipient of any and all foreclosure fees and costs that have been charged to our account; E. The payment dates, purpose of payment and recipient of all escrow items charged to our account since took over the servicing of our loan; F. A breakdown of the current escrow charge showing how it is calculated and the reason for any increase within the last 24 months; and G. A copy of any annual escrow statements and notices of a shortage, deficiency or surplus, sent to us within the last three (3) years. Thank you for taking the time to acknowledge and answer this request as required by the Real Estate Settlement and Procedures Act (section 2605(e)). Please submit your response via mail to our address noted in this letter as well as mailing it to: Sincerely, Frameworks Community Development Corporation 701 Tillery Street, Suite A-7B Austin, TX (office)/ (fax)