Forms Start here to work with Interfaith's HomeOwnership Center Board Staff Supporters Latest News Board Staff Supporters Latest News HOC Property Information Form Property InformationHousing Type(Required)Single-family houseDuplex or Tri-plexTownhouse or CondoMobile homeYear purchased(Required)Purchase price(Required)Current value(Required)Homeowner insurer(Required)Insurer's phone(Required)Is there a co-owner?(Required)YesNoDo you want to keep the home?(Required)YesNoDo you live in the home?(Required)YesNoName of original mortgage company(Required)Name of current mortgage company(Required)Have you contacted your lender/servicer?(Required)YesNoLast contact date(Required) MM slash DD slash YYYY Loan number(Required)Current value(Required)Mortgage type(Required)FHAVAConv.ARM80/2030-year fixedOtherOther type(Required)Monthly mortgage payment(Required)Term (years)(Required)Interest rate (%)(Required)Date last payment made(Required) MM slash DD slash YYYY How many months past-due are you?(Required)Money on-hand to put towards bringing your mortgage current(Required)Reason(s) for delinquency(Required)Have you been served legal papers?(Required)YesNoDo you have a second mortgage?(Required)YesNoWith whom?(Required)Have you ever had a loan modification or forebearance agreement?(Required)YesNoWhen?(Required) MM slash DD slash YYYY Have you filed bankruptcy?(Required)YesNoWhen?(Required) MM slash DD slash YYYY Have you ever worked with another agency to remedy your mortgage default?(Required)YesNoAgency's name(Required)Counselor's name(Required)Payments to agency(Required)Overall condition of the home(Required)PoorFairGoodExcellentAny major repairs needed?(Required)YesNoPlease explain repairs needed(Required)Client name(Required) First Middle Last Client signature(Required)Date(Required) MM slash DD slash YYYY Co-Client name (if applicable) First Middle Last Co-Client signature (if applicable)Date MM slash DD slash YYYY Δ Return to HomeOwnership Center Forms