MORTGAGE ASSISTANCE APPLICATION UNIFORM APPLICANT ASSISTANCE FORM / FORM 710

If you are experiencing a temporary or long term hardship and need help, you must complete and submit this
form along with other required documentation to be considered for available solutions. On this page, you must
disclose information about
(1) you and your intentions to either keep or transition out of your home;
(2) the property’s status;
(3) bankruptcy; and
(4) your credit counseling agency.

You must disclose information about all of your income, expenses and assets. Please note, if the property is
Applicant/Owner Occupied, and you have not been previously reviewed for a modification or any other retention
option, you must include documentation to support the hardship reason. The Hardship form informs you of the
required documentation that you must submit in support of your hardship claim.

NOTICE: In addition, when you sign and date this form, you will make important certifications,
representations and agreements under penalty of perjury, including certifying that all of the information
in this Mortgage Assistance Application form is accurate and truthful and any identified hardship has
contributed to your submission of this request for mortgage relief.

REMINDER: The Applicant Response Package you need to return consists of:
(1) this completed, signed and dated Applicant Assistance Form;
(2) required income documentation, and
(3) required hardship documentation

Disclaimers and Notices

If you would like counseling or assistance, for a list of homeownership counselors or counseling organizations in your
area, contact one of the following federal government agencies: The U.S. Department of Housing and Urban
Development (HUD) at (800) 569-4287 or www.hud.gov/counseling; or The Consumer Financial Protection Bureau
(CFPB) at (855) 411-2372 or www.consumerfinance.gov/mortgagehelp. If you need assistance with translation or
other language assistance, HUD-approved housing counseling agencies may be able to assist you. These services
are provided without charge.

Bayview Loan Servicing, LLC is a debt collector. This letter is an attempt to collect a debt and any information
obtained will be used for that purpose. To the extent that your obligation has been discharged or is subject to an
automatic stay of bankruptcy this notice is for compliance and informational purposes only and does not constitute a
demand for payment or any attempt to collect such obligation. Bayview Loan Servicing, LLC., NMLS #2469.

Confirmed SII Disclaimer: If you are a confirmed successor in interest of the account, unless you assume the
mortgage loan obligation under state law, you are not personally liable for the mortgage debt and cannot be required to
use your own assets to pay the mortgage debt.

The following mailing address must be used for all Error Notices & Information Requests: Bayview Loan
Servicing, LLC, Customer Support, 4425 Ponce de Leon Boulevard, 5th Floor, Coral Gables, FL 33146.

MILITARY PERSONNEL/SERVICEMEMBERS: If you or your spouse is a member of the military, please contact us
immediately. The federal Servicemembers Civil Relief Act and comparable state laws afford significant protections and
benefits to eligible military service personnel, including protections from foreclosure as well as interest rate relief. For
additional information and to determine eligibility please contact our Military Assistance Team toll free at 1 (877) 251-
0990.

Loss mitigation options may have costs associated with them that you may be responsible for after completion of loss
mitigation. Examples of these costs include title searches, appraisals and valuations. The costs may vary depending
on the loan information, geographic area, etc. Please contact us for information on costs that may be associated with
your loss mitigation evaluation.
MORTGAGE ASSISTANCE APPLICATION UNIFORM APPLICANT ASSISTANCE FORM / FORM 710
Loan Number: 2792532
Servicer Name: Bayview Loan Servicing, LLC
Property Address: 502 chantilly drive Murray,Kentucky 42071
The property is currently:  Occupied by Applicant  Occupied by  Vacant/not occupied by
someone other than anyone to Applicant’s best
Applicant (tenant/ knowledge renter/other)

Applicant would like to:  Live in the property as  Short Sale  Assume sole legal my primary residence*
responsibility for
repayment of loan
 Maintain the property as  DIL - Deed the
Second Home/ property back to (“Assumption or Release
of Liability”)
Investment residence Bayview
*As used in this application, the term ‘Primary Residence,’ means the dwelling where a person usually lives. A person can only have one primary
residence at any given time, though the property may be shared with other people.
Applicant is the:  Borrower/Co-Borrower  Authorized Third-Party
 Successor In Interest (SII)  Assumer of the Loan

Applicant Co-Applicant (if any)

Applicant's Name Deborah L Newsome Co-Applicant's Name

Social Security Number Date of Birth Social Security Number Date of Birth
383-70-5513 05/20/1955
Home Phone Number with Area Code Home Phone Number with Area Code
Cell or Work Number with Area Code (indicate which) Cell or Work Number with Area Code (indicate which)
Cell 270-752-1835
E-mail Address ** E-mail Address **
Jess1987mo@yahoo.com Jess1987mo@yahoo.com
** By providing your e-mail and/or submitting this form electronically, you are voluntarily providing your written consent to receive electronic mail from
us about your debt, an acknowledgment and response(s) to this correspondence exclusively by e-mail and affirm that the e-mail address is not an
electronic mail account furnished or owned by your employer.
Mailing Address (if same as mailing address, write "same") Mailing Address (if same as mailing address, write "same")
502 chantilly drive Murray,KY 42071

Is the property listed for sale?  Yes  No If yes, Have you contacted a credit counseling agency for help?
what was the listing date?  Yes  No
If yes, please complete the counselor/agency contact
If property has been listed for sale, have you received an information below:
offer on the property?  Yes  No Date of offer Amount Counselor/Agency’s Name:
of Offer: $ Counselor/Agency’s Contact Information:
Agent’s
Name:
Agent’s Phone Number: _______________________
For Sale by Owner?  Yes  No
Do you have condominium or homeowner association (HOA) fees?  Yes  No Total
monthly amount: $
Name and address that
fees are paid to:
Have you filed for bankruptcy?  Yes  No If yes:  Chapter 7
 Chapter 11  Chapter 12  Chapter 13 If yes, what is the filing date:
Has your bankruptcy been discharged?  Yes  No
Bankruptcy case number:
Is any Applicant an active duty service member?  Yes  No
Has any Applicant been deployed away from his/her primary residence or received a
Permanent Change of Station order?  Yes  No
Is any Applicant the surviving spouse of a deceased service member who was on active duty
at the time of death?  Yes  No
UNIFORM APPLICANT ASSISTANCE FORM / FORM 710 WS V 2.8 OCT. 2018

MORTGAGE ASSISTANCE APPLICATION UNIFORM APPLICANT ASSISTANCE FORM / FORM 710

Hardship
The hardship causing mortgage payment challenges began on approximately (date) 09/01/2019 and is believed to
be:
 Short-term (up to 6 months)
 Long-term or permanent (greater than 6 months)
 Resolved as of (date)

TYPE OF HARDSHIP (Check all that apply) REQUIRED HARDSHIP DOCUMENTATION

 Unemployment  Not required

 Reduction in income: a hardship that has  Not required

caused a decrease in your income due to
circumstances outside your control (e.g.,
elimination of overtime, reduction in
regular working hours, a reduction in base
pay)

UNIFORM APPLICANT ASSISTANCE FORM / FORM 710 WS V 2.8 Page 2 of 6 OCT.

2018
 Increase in housing-related expenses: a  Not required
hardship that has caused an increase in
your housing expenses due to
circumstances outside your control (e.g.,
uninsured losses, increased property
taxes, HOA special assessment)

 Disaster (natural or man-made) impacting  Not required

the property or borrower's place of
employment

 Long-term or permanent disability, or  Written statement from the borrower, or other documentation
serious illness of a borrower/co-borrower verifying disability or illness Note: Detailed medical information is
or dependent family member not required, and information from a medical provider is not
required
 Divorce or legal separation  Final divorce decree or final separation agreement OR
 Recorded quitclaim deed

 Separation of borrowers unrelated by  Recorded quitclaim deed OR

marriage, civil union, or similar domestic  Legally binding agreement evidencing that the non-occupying
partnership under applicable law borrower or co-borrower has relinquished all rights to the property

 Death of a borrower or death of either the  Death certificate; OR

primary or secondary wage earner  Obituary or newspaper article reporting the death

 Distant employment transfer/relocation  For active duty service members: Permanent Change of Station
(PCS) orders or letter showing transfer
 For employment transfers/new employment: Copy of signed
offer letter or notice from employer showing transfer to a new
location or written explanation if employer documentation not
applicable, AND
 Documentation that reflects the amount of any relocation
assistance provided (not required for those with PCS orders)
 Other - hardship that is not covered  Written explanation describing the details of the hardship and any
above: relevant documentation
MORTGAGE ASSISTANCE APPLICATION Borrower IncomeUNIFORM APPLICANT ASSISTANCE FORM / FORM
710
Please enter all borrower income amounts in middle column.
MONTHLY TOTAL BORROWER INCOME TYPE & AMOUNT REQUIRED INCOME DOCUMENTATION

Gross (pre-tax) wages, salaries and $  Most recent pay stub and documentation of year-
overtime pay, commissions, tips, and todate earnings if not on pay stub OR
bonuses  Two most recent bank statements showing income
deposit amounts

Self-employment income $  Two most recent bank statements showing

selfemployed income deposit amounts OR
 Most recent signed and dated quarterly or year-todate
profit/loss statement OR
 Most recent complete and signed business tax return
OR
 Most recent complete and signed individual federal
income tax return

Unemployment benefit income $  No documentation required

Taxable Social Security, pension, $ 2,353.07  Two most recent bank statements showing deposit
disability, death benefits, adoption amounts OR
assistance, housing allowance, and  Award letters or other documentation showing the
other public assistance amount and frequency of the benefits

Non-taxable Social Security or $  Two most recent bank statements showing deposit
disability income amounts OR
 Award letters or other documentation showing the
amount and frequency of the benefits

Rental income (rents received, less $  Two most recent bank statements demonstrating
expenses other than mortgage receipt of rent OR
expense)  Two most recent deposited rent checks

Investment or insurance income $  Two most recent investment statements OR

 Two most recent bank statements supporting receipt of
the income

Other sources of income not listed $  Two most recent bank statements showing receipt of
above (Note: Only include alimony, income OR
child support, or separate  Other documentation showing the amount and
maintenance income if you choose to frequency of the income
have it considered for repaying this
loan)

Current Borrower Assets

Exclude retirement funds such as a 401(k) or Individual Retirement Account (IRA), and college savings accounts such
as a 529 plan.
Checking account(s) and cash on hand $0.00

Savings, money market funds, and Certificates of Deposit (CDs) $0.00

Stocks and bonds (non-retirement accounts) $0.00

UNIFORM APPLICANT ASSISTANCE FORM / FORM 710 WS V 2.8 Page 4 of 6 OCT.

2018
 Other: $0.00

MORTGAGE ASSISTANCE APPLICATION UNIFORM APPLICANT ASSISTANCE FORM / FORM 710

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.

Applicant Co-Applicant

 I do not wish to furnish this information  I do not wish to furnish this information

Ethnicity:  Hispanic or Latino  Ethnicity:  Hispanic or Latino  Not

Not Hispanic or Latino Hispanic or Latino

Race:  American Indian or Alaska Native Race:  American Indian or Alaska Native
 Asian  Asian
 Black or African American  Black or African American
 Native Hawaiian or Other Pacific Islander  Native Hawaiian or Other Pacific Islander
 White  White

Sex:  Female Sex:  Female

 Male  Male

To be completed by Servicer Name/Address of Interviewer's Employer

This request was taken by: Servicer/Interviewer's Name (print or type) & ID Number

 Face-to-face interview Bayview Loan Servicing, LLC

 Mail Servicer/Interviewer's Signature Date 4425 Ponce de Leon Blvd., 5th Floor
 Telephone
Coral Gables, FL 33146
 Internet Servicer/Interviewer's Phone Number (include area code)

Loan Number Servicer/Interviewer's Fax Number (include area code) Servicer/Interviewer's email address

MORTGAGE ASSISTANCE APPLICATION UNIFORM APPLICANT ASSISTANCE FORM / FORM 710

Applicant Acknowledgement and Agreement

UNIFORM APPLICANT ASSISTANCE FORM / FORM 710 WS V 2.8 Page 5OCT.

2018
I certify, acknowledge, and agree to the following:
1. All of the information in this Mortgage Assistance Application is truthful.
2. I agree to provide my servicer with all required documents, including any additional supporting documentation as requested, and
will respond in a timely manner to all servicer or authorized third party* communications.
3. I acknowledge and agree that my servicer is not obligated to offer me assistance based solely on the representations in this
document or other documentation submitted in connection with my request.
4. I consent to the disclosure by my servicer, authorized third party,* or any investor/guarantor of my mortgage loan(s), of any
personal information collected during the mortgage assistance process and of any information about any relief I receive, to any
third party that deals with my first lien or subordinate lien (if applicable) mortgage loan(s), including Fannie Mae, Freddie Mac, or
any investor, insurer, guarantor, or servicer of my mortgage loan(s) or any companies that provide support services to them, for
purposes permitted by applicable law. I acknowledge and agree that when providing a decision to the application, servicer may
combine both the applicant’s and co-applicant’s personal information as part of the decision package I consent to the disclosure
by my servicer, of any of my personal information that may be included in such decision package. Personal information may
include, but is not limited to my: (a) name, address, telephone number, (b) Social Security number, (c) credit score, (d) income,
and (e) payment history and information about my account balances and activity.
5. I understand, acknowledge, and agree that the Lender and Other Loan Participants can obtain, use and share tax return
information for purposes of (a) providing an offer; (b) originating, maintaining, managing, monitoring, servicing, selling, insuring,
and securitizing a loan; (c) marketing; or (d) as otherwise permitted by applicable laws, including state and federal privacy and
data security laws. The Lender includes the Lender's affiliates, agents, service providers and any of aforementioned parties'
successors and assigns. The Other Loan Participants includes any actual or potential owners of a loan resulting from your loan
application, or acquirers of any beneficial or other interest in the loan, any mortgage insurer, guarantor, any servicers or service
providers for these parties and any of aforementioned parties' successors and assigns.
6. I may be eligible for a trial period plan, repayment plan, or forbearance plan. If I am eligible for one of these plans, I agree that:
(a) All the terms of this Acknowledgment and Agreement are incorporated into such plan by reference as if set forth in such plan
in full. (b) My first timely payment under the plan will serve as acceptance of the terms set forth in the notice of the plan sent by
the Servicer. (c) The Servicer’s acceptance of any payments under the plan will not be a waiver of any acceleration of my loan
or foreclosure action that has occurred and will not cure my default unless such payments are sufficient to completely cure my
entire default under my loan. (d) Payments due under a trial period plan for a modification will contain escrow amounts. If I was
not previously required to pay escrow amounts, and my trial period plan contains escrow amounts, I agree to the establishment
of an escrow account and agree that any prior waiver is revoked. Payments due under a repayment plan or forbearance plan
may or may not contain escrow amounts. If I was not previously required to pay escrow amounts and my repayment plan or
forbearance plan contains escrow amounts, I agree to the establishment of an escrow account and agree that any prior escrow
waiver is revoked.
7. A condemnation notice has not been issued for the property, and there has been no change in ownership of the Property since
the signing of the original mortgage loan documents.
8. The Servicer, or its agent, or authorized third party* may obtain a current credit report on all Applicants who sign this application,
whether or not obligated on the Note.
9. I/We authorize you to provide to Bayview Loan Servicing, LLC, Ianniello Anderson PC, Nations Lending Services, Timios Inc.,
Service Link and Title 365*, or any other third party used by Bayview Loan Servicing, any and all information and documentation
necessary to allow the aforementioned parties to use in efforts to clear title and/or resolve liens on the subject Property located
at 502 Chantilly dr Murray,KY 42071_______. Please note, Ianniello Anderson PC, Nations Lending Services,
Timios Inc., Service Link and Title 365, or any other third party used by Bayview Loan Servicing, are authorized on behalf of
Bayview
Loan Servicing, LLC and the Applicant to discuss all settlement negotiations including but not limited to Junior Lien Holders,
Judgments and any other encumbrances affecting title to the above referenced property. A copy of this authorization constitutes
an original.
10. I acknowledge and agree that if I am approved for a modification trial period plan, any prior waiver that allowed me to pay
directly for taxes and insurance is revoked. I agree that the terms of this borrower certification and agreement will apply to any
modification trial period plan, repayment plan, or forbearance plan that i may be offered based on this application. If i receive an
offer for a modification trial period plan or repayment plan, i agree that my first timely payment under the plan will serve as
acceptance of the plan and setting up of an escrow account to pay taxes and insurance.
11. I consent to being contacted concerning this request for mortgage assistance at any telephone number, including mobile
telephone number, or e-mail address I have provided to the Lender/Servicer/ or authorized third party*. By checking this box, I
also consent to being contacted by  text messaging.
Non-borrower income will require the non-borrower to complete and sign the application or a credit release authorization.
Print Applicant Name: ____________________________________________________
Applicant Signature: ____________________________________________________ Date_________________________
* An authorized third party may include, but is not limited to, a counseling agency, Housing Finance Agency (HFA) or other similar entity that is
assisting me in obtaining a foreclosure prevention alternative.
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UNIFORM APPLICANT ASSISTANCE FORM / FORM 710 WS V 2.8 Page 6 of 6 OCT.

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 MORTGAGE ASSISTANCE APPLICATION UNIFORM APPLICANT ASSISTANCE FORM / FORM 710
Co-Applicant Acknowledgement and Agreement
I certify, acknowledge, and agree to the following:
1. All of the information in this Mortgage Assistance Application is truthful.
2. I agree to provide my servicer with all required documents, including any additional supporting documentation as requested, and
will respond in a timely manner to all servicer or authorized third party* communications.
3. I acknowledge and agree that my servicer is not obligated to offer me assistance based solely on the representations in this
document or other documentation submitted in connection with my request.
4. I consent to the disclosure by my servicer, authorized third party,* or any investor/guarantor of my mortgage loan(s), of any
personal information collected during the mortgage assistance process and of any information about any relief I receive, to any
third party that deals with my first lien or subordinate lien (if applicable) mortgage loan(s), including Fannie Mae, Freddie Mac, or
any investor, insurer, guarantor, or servicer of my mortgage loan(s) or any companies that provide support services to them, for
purposes permitted by applicable law. I acknowledge and agree that when providing a decision to the application, servicer may
combine both the applicant’s and co-applicant’s personal information as part of the decision package I consent to the disclosure
by my servicer, of any of my personal information that may be included in such decision package. Personal information may
include, but is not limited to my: (a) name, address, telephone number, (b) Social Security number, (c) credit score, (d) income,
and (e) payment history and information about my account balances and activity.
5. I understand, acknowledge, and agree that the Lender and Other Loan Participants can obtain, use and share tax return
information for purposes of (a) providing an offer; (b) originating, maintaining, managing, monitoring, servicing, selling, insuring,
and securitizing a loan; (c) marketing; or (d) as otherwise permitted by applicable laws, including state and federal privacy and
data security laws. The Lender includes the Lender's affiliates, agents, service providers and any of aforementioned parties'
successors and assigns. The Other Loan Participants includes any actual or potential owners of a loan resulting from your loan
application, or acquirers of any beneficial or other interest in the loan, any mortgage insurer, guarantor, any servicers or service
providers for these parties and any of aforementioned parties' successors and assigns.
6. I may be eligible for a trial period plan, repayment plan, or forbearance plan. If I am eligible for one of these plans, I agree that:
(a) All the terms of this Acknowledgment and Agreement are incorporated into such plan by reference as if set forth in such plan
in full. (b) My first timely payment under the plan will serve as acceptance of the terms set forth in the notice of the plan sent by
the Servicer. (c) The Servicer’s acceptance of any payments under the plan will not be a waiver of any acceleration of my loan or
foreclosure action that has occurred and will not cure my default unless such payments are sufficient to completely cure my
entire default under my loan. (d) Payments due under a trial period plan for a modification will contain escrow amounts. If I was
not previously required to pay escrow amounts, and my trial period plan contains escrow amounts, I agree to the establishment
of an escrow account and agree that any prior waiver is revoked. Payments due under a repayment plan or forbearance plan
may or may not contain escrow amounts. If I was not previously required to pay escrow amounts and my repayment plan or
forbearance plan contains escrow amounts, I agree to the establishment of an escrow account and agree that any prior escrow
waiver is revoked.
7. A condemnation notice has not been issued for the property, and there has been no change in ownership of the Property since
the signing of the original mortgage loan documents.
8. The Servicer, or its agent, or authorized third party* may obtain a current credit report on all Applicants who sign this application,
whether or not obligated on the Note.
9. I/We authorize you to provide to Bayview Loan Servicing, LLC, Ianniello Anderson PC, Nations Lending Services, Timios Inc.,
Service Link and Title 365*, or any other third party used by Bayview Loan Servicing, any and all information and documentation
necessary to allow the aforementioned parties to use in efforts to clear title and/or resolve liens on the subject Property located
at______________________________________. Please note, Ianniello Anderson PC, Nations Lending Services, Timios
Inc., Service Link and Title 365, or any other third party used by Bayview Loan Servicing, are authorized on behalf of Bayview
Loan Servicing, LLC and the Applicant to discuss all settlement negotiations including but not limited to Junior Lien Holders,
Judgments and any other encumbrances affecting title to the above referenced property. A copy of this authorization constitutes
an original.
10. I acknowledge and agree that if I am approved for a modification trial period plan, any prior waiver that allowed me to pay directly
for taxes and insurance is revoked. I agree that the terms of this borrower certification and agreement will apply to any
modification trial period plan, repayment plan, or forbearance plan that i may be offered based on this application. If i receive an
offer for a modification trial period plan or repayment plan, i agree that my first timely payment under the plan will serve as
acceptance of the plan and setting up of an escrow account to pay taxes and insurance.
11. I consent to being contacted concerning this request for mortgage assistance at any telephone number, including mobile
telephone number, or e-mail address I have provided to the Lender/Servicer/ or authorized third party*. By checking this box, I
also consent to being contacted by  text messaging.
Non-borrower income will require the non-borrower to complete and sign the application or a credit release authorization.
Print Co-Applicant Name: ____________________________________________________
Co-Applicant Signature: ____________________________________________________ Date_________________________

UNIFORM APPLICANT ASSISTANCE FORM / FORM 710 WS V 2.8 Page 7OCT.

2018
 * An authorized third party may include, but is not limited to, a counseling agency, Housing Finance Agency (HFA) or other similar entity that is
assisting me in obtaining a foreclosure prevention alternative.
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UNIFORM APPLICANT ASSISTANCE FORM / FORM 710 WS V 2.8 Page 8OCT.

2018