Non Performance Loan Modification Application

Request Type

Is this a Fannie Mae High LTV Refinance Option / Freddie Mac Enhanced Relief Refinance℠?*

Program Name*

Submitting Servicer/Lender

Radian Master Policy Number*

Company Name*

Street Address*

City*

State*

Zip*

Submitter First Name*

Submitter Last Name*

Submitter Email*

Email Confirmation*

Submitter Phone*

Borrower

First Name*

Middle Name

Last Name*

Subject Property

Street Address*

City*

State*

State looks good.

We need a property state.

Zip*

Pre-Close Data

Post-Close Data

Existing Radian Certificate Number*

Existing Loan Number*

New Loan Number* New Loan Number

Loan Type*

New Loan Amount*

Interest Rate(%)* Interest Rate(%)

P&I* P&I

PITI* PITI

Term (months)*

Occupancy Type

Occupancy type looks good.

We need an Occupancy type.

MI PremiumSource

MI Renewal Type

Qualifying Property Value

Closing Costs

Existing Loan Payoff Amount

Borrower FICO

Closing Date*

Index

Margin

Months to First Payment Adjustment

Initial Adjustment Rate Cap Percent

Months to First Rate Adjustment

Months Between Rate Adjustments

Subsequent Adjustments Rate Cap Percent

Life of Loan Interest Max Rate Cap

Comments

Does the Lender request an endorsement modifying the certificate?

Prior Approval

The submitter represents that the HARP Refinance Loan meets the requirements of Radian Guaranty Inc. ('Radian')'s HARP Program, and the HARP Program requirements as published by Fannie Mae or Freddie Mac, in effect on the day of submission, and that insurance for the Loan is currently in force with Radian. The submitter also acknowledges that Radian is relying on the above representations for the continuation of mortgage insurance coverage for the HARP Refinance loan and that Radian may cancel or rescind the mortgage insurance coverage if the Loan does not meet the terms of Radian's Master Policy and/or all applicable HARP program requirements.

The submitter represents that the refinance modification loan meets the requirements of Radian Guaranty Inc. ('Radian')'s GSE Refinance Modification Program, and the High LTV Refinance Option or Enhanced Relief Refinance Program requirements as published by Fannie Mae or Freddie Mac, in effect on the day of submission, and that insurance for the Loan is currently in force with Radian. The submitter also acknowledges that Radian is relying on the above representations for the continuation of mortgage insurance coverage for the refinance modification loan and that Radian may cancel or rescind the mortgage insurance coverage if the Loan does not meet the terms of Radian's Master Policy and/or all applicable High LTV Refinance Option or Enhanced Relief Refinance program requirements.

Non-GSE Performing Rate and Term Modifications are approved for certificates with a monthly Payment Plan only. If the certificate has another Payment Plan, submission of this form will indicate a request for an exception to our program guidelines and additional information may be required.