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THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL MCLEAN COUNTY, ILLINOIS FORECLOSURE MEDIATION PROGRAM PLAINTITFF’S QUESTIONNAIRE FORM Exhibit Page 1 of 4 Plaintiff’s Name: v. Defendant’s Name: Case Number: A. Plaintiff Contact Information Please list a contact person for this case. The Program Coordinator will contact this person to deal with scheduling and other issues. The contact person may be an attorney representing the plaintiff. Name: Address: Telephone Number: Email address: B. Standing Specify what basis Plaintiff asserts that it is entitled to enforce the negotiable instrument: If not already attached to the complaint, please attach any documentation evidencing standing and capacity of the Plaintiff to file suit including: a copy of the loan note and any riders, a copy of each and every endorsement of the loan note or in the case of bearer paper, a copy of all documents showing the date of the transfer of possession, and a copy of each assignment of the mortgage/deed of trust. C. Estimated Amount Owed on the Home Loan Original Loan Amount: Amount in Default: Late Fees: Other Advances: Attorney Fees: Court Cost/Fees: Please attach a copy of the Truth in Lending statement, a copy of the final settlement statement and a copy of the payment history. ---PAGE BREAK--- THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL MCLEAN COUNTY, ILLINOIS FORECLOSURE MEDIATION PROGRAM PLAINTITFF’S QUESTIONNAIRE FORM Exhibit Page 2 of 4 D. Loan Modification Eligibility 1. Who is the loan servicer? 2. Does the servicer participate in HAMP? Yes No 3. If yes, does a pooling and servicing agreement, investor guideline, or any other agreement, limit in any way any step in the HAMP modification process? Yes No Please attach the pooling and servicing agreement and investor guidelines.i Mark it as a response to question C3. 4. Please indicate the owner and/or type of loan at issue: Fannie Mae FHA Loan Private Investor Owned Freddie Mac VA Loan Ginnie Mae RHS Loan 5. Has the plaintiff or the loan servicer considered defendant(s) for a loan modification? If yes, please attach the decision concerning the modification considered. 6. Does the plaintiff or the loan servicer offer any private loan modification options? Yes No If yes, please provide, if practicable, a description of the program(s) by attaching it to this questionnaire; mark it as response to question 6. 7. Is there any reason that the Home Affordable Foreclosure Alternative Program (HAFA) would not apply? Yes No If yes, please describe any 8. Does the plaintiff have a second lien on the home? Yes No A. If yes, does plaintiff or the loan servicer participate in Second Lien Modification Program (2MP)? Yes No B. If no, does plaintiff or the loan servicer have another program for addressing a second lien? Yes No If yes, please attach a description the program. Mark it as a response to question 8B. ---PAGE BREAK--- THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL MCLEAN COUNTY, ILLINOIS FORECLOSURE MEDIATION PROGRAM PLAINTITFF’S QUESTIONNAIRE FORM Exhibit Page 3 of 4 E. NPV Advances/Escrow Past Due: Loan Product Description (ARM/Internet Only, Fixed One Step Variable, etc.): Current Fair Market Value of Property: Current Interest Payment: Current Interest Rate: Current Mortgage Payment: Current Principal Payment: Current Unpaid Balance (UPB): Future Interest and Advanced Escrow: Home Price Appreciation Forecast: insurance payment: real estate taxes: Months Past Due: Next ARM reset date: Original Amortization Term: Original Interest Rate: Original Loan Amount: Past Due Interest: Principal and interest payment before modification: Projected Foreclosure & REO Disposition Costs: Projected Home Price Appreciation: Projected Months to Foreclosure Sale: Projected Months to Re-default: Projected Months to REO Sale: Projected Re-default Rate after a Modification: Real Estate Owned (REO) Stigma Discount: Remaining Mortgage Term (in months): ---PAGE BREAK--- THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL MCLEAN COUNTY, ILLINOIS FORECLOSURE MEDIATION PROGRAM PLAINTITFF’S QUESTIONNAIRE FORM Exhibit Page 4 of 4 F. Is there any other information that you believe would be helpful in reaching a solution? If you need more space, please attach additional sheets that are labeled with a response to the appropriate letter and number. G. Prepared By: Title: Telephone Number: (Signature) (Date)