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Debtor Loss Mitigation Affidavit - New York
| Debtor Loss Mitigation Affidavit Form. This is a New York form and can be used in Southern District Bankruptcy Court Federal . |
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UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF NEW YORK ------------------------------------------------------------------x In re: Chapter Case No. () Debtor(s). ------------------------------------------------------------------x DEBTOR LOSS MITIGATION AFFIDAVIT STATE OF NEW YORK COUNTY OF I, ) )ss.: ) , being sworn, say: I am not a party to this action, am over 18 years of age and reside in , New York. On , I served a true and completed copy of the Financial Packet, including the following documents: A copy of the Debtor's(s') two (2) most recent federal income tax returns; A copy of t he Debtor's(s') last two (2) pa ycheck stubs, proof of social security income, pensions, or any other income received by the Debtor(s); Or, if Debtor(s) is/are self employed: A copy of the Debtor's(s') business's two (2) most recent months' Profit and Loss Statements, setting forth a breakdown of the monthly business incom e and expenses for the months of ; A copy of the Mortgagee's completed Financial Worksheet; Proof of Second/Third Party Incom e by Affi davit of the party, including the party's last two (2) paycheck stubs, Other (please specify): American LegalNet, Inc. www.FormsWorkFlow.com upon the following parties via (first class mail, facsimile or email) at the following addresses: (first class mail, facsimile or email) Please be advised that the loss mitigation contact is as follows: Name: __________________________________________________ Title: __________________________________________________ Phone Fax Em Dated: , Number: ____________________________________________ Number: ____________________________________________ ail Address: ____________________________________________ New York , 20 Sworn to before me this day of , 20 Notary Public, State of New York American LegalNet, Inc. www.FormsWorkFlow.com
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