Below is an example of a loan modification request form:
October 10, 2009
Loss Mitigation Department / Legal Department
[INSERT BANK NAME]
[INSERT BANK ADDRESS LINE 1]
[INSERT BANK ADDRESS LINE 2]
REF: Borrowers: [YOUR NAME(S)]
Property: [SUBJECT PROPERTY]
Loan No: [LOAN NUMBER]
LOAN MODIFICATION REQUEST
Proposal: [PROPOSE NEW TERMS IN THIS SECTION] EXAMPLE:
*A Competitive interest rate of 2% FIXED, STEP LADDER PROGRAM.
Max Rate after the fourth year at 5%, Amortized in 30 YEARS thereafter,
to capitalize past due amounts, legal fees, escrow deficiency, if any, etc.
Hardship: [SUMMARIZE HARDSHIP IN THIS SECTION] EXAMPLE:
*We are not looking to relinquish our responsibility, but rather, we are looking for a Loan Modification and / or Workout Plan equitable to our financial situation. With our already increased living expenses, and an Interest Rate that is set to adjust, the new payment will become unaffordable and difficult for us to maintain.
Market Value:
*Current Existing Balance: $ [YOUR CURRENT BALANCE]
*Current Fair Market / New Principal Balance: $ [TODAY’S MARKET VALUE]
*(Supporting Documents Included)
*Principal Balance Reduction: $ [REQUESTED REDUCTION AMOUNT]
Request Details: [INPUT YOUR CURRENT AND PROPOSED DETAILS HERE] EXAMPLE:
6.00% Requested Fixed Interest Rate 2.00% Current Interest Rate:
Current Loan Type: Option Arm, ARM ect… Requested Loan Type: Step Ladder Program Amortization Remaining: 323 Month
Requested Amortization: 30 Years
Previous Payment: $1000.00
New Payment: $1075.00
Late Fees / Penalties FORGIVEN / WAIVED
Late Balance: INCL IN NEW PRINCIPAL BALANCE Requested Next Payment Date: 2 Months
Please find the following for you to proceed with the Loan Modification and / or Loan Restructuring Request:
* Mortgage Statement
* Market Value Documentation
* Hardship Letter
* Financial & Budget Worksheet:
* Income Documentation:
* Bank Statements
Thank you for your assistance in this matter,
Sincerely,
Please continue to the next post and click on the link to download a copy of the loan modification request form.







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