Credit Union:



Please note: The Credit Union is ultimately responsible for the accuracy of the information provided for modification document preparation. Please ensure documents & loan terms adhere to the Credit Union’s business loan policy, review documents carefully prior to closing the loan. Changes after docs are prepared will result in redraw fees. Rush requests will be accommodated as workflow permits & will be subject to rush fees being charged. Disclosure: CU Business Group may not be able to accommodate some modification requests. (pricing is based on work involved)Send completed request forms to documentation@CUBG works with many CUs with similar names please list full CU nameCredit Union FORMTEXT ?????CU Contact – Primary & SecondaryPrimary Name: FORMTEXT ?????Phone: FORMTEXT ?????Email Address: FORMTEXT ????? Secondary Name: FORMTEXT ?????Phone: FORMTEXT ?????Email Address: FORMTEXT ????? Modification Details – Completing all the information within the modification request form is essential to ensure lenders lien. Modifications must include all changes occurring after original documents were signed. CU is fully responsible for the modification that is being given to the borrower. Loan Information (Attach a separate word document if additional space is needed)Modification Loan Details Modification/Signing Date: FORMTEXT ??- FORMTEXT ??- FORMTEXT ????Modification Maturity Date: FORMTEXT ??- FORMTEXT ??- FORMTEXT ????Modification Loan #: FORMTEXT ?????Next Payment Date for Loan Modification: FORMTEXT ??- FORMTEXT ??- FORMTEXT ????Modification Principal Loan Amount: $ FORMTEXT ????? Provide detailed language for reason modification is being done: FORMTEXT ?????(This language appears in the Change-In-Terms document. Include any changes occurring as in changes to financial reporting for borrower or guarantor etc. )Original Loan DetailsOriginal Documents Prepared by: FORMCHECKBOX CUBG FORMCHECKBOX Other Party (not CUBG prepared) Provide copy of note & loan informationOriginal Closing Date: FORMTEXT ??- FORMTEXT ??- FORMTEXT ????Original Loan Amount: $ FORMTEXT ?????Original Maturity Date: FORMTEXT ??- FORMTEXT ??- FORMTEXT ????Was Original Loan Previously Modified: FORMCHECKBOX No FORMCHECKBOX Yes – Enter details below on previous modifications that were donePreviously modified loan details: FORMTEXT ?????(i.e. how many times has loan been modified, loan amounts when modified, dates modifications were done)Does Modification loan # match original loan #? FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX Adding Provide details: FORMTEXT ?????Does original loan have on demand language in the note? FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX Adding Provide details: FORMTEXT ?????**Please list only one individual or business entity in each Borrower section. Request form for additional borrowers** Borrower Information (When a borrower changes full new doc set needs to be prepared, not a loan modification) Business Entity Name: FORMTEXT ?????Entities must have active status with SOS DBA/ABN Name: FORMTEXT ?????DBA/ABN Formation Date: FORMTEXT ??- FORMTEXT ??- FORMTEXT ????DBA/ABN State: FORMTEXT ??Tax ID# (TIN): FORMTEXT ??- FORMTEXT ?????Registration ID#: FORMTEXT ?????Registered State: FORMTEXT ??Type of Business Entity or Individual: FORMDROPDOWN Street address must show state where entity is registered Individuals SS# (SSN): FORMTEXT ???- FORMTEXT ??- FORMTEXT ????Individuals Birthdate: FORMTEXT ??- FORMTEXT ??- FORMTEXT ????Individuals Name:First: FORMTEXT ?????Middle: FORMTEXT ?????Last: FORMTEXT ?????Street Address: FORMTEXT ?????County: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ??Zip Code: FORMTEXT ????? Mailing Address: FORMTEXT ?????(complete mailing if differs from street address) County: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ??Zip Code: FORMTEXT ?????Please Note: When additional space is needed, attach a word document with the additional informationCo-Borrower Information (When a borrower changes full new doc set needs to be prepared, not a loan modification) Business Entity Name: FORMTEXT ?????Entities must have active status with SOS DBA/ABN Name: FORMTEXT ?????DBA/ABN Formation Date: FORMTEXT ??- FORMTEXT ??- FORMTEXT ????DBA/ABN State: FORMTEXT ??Tax ID# (TIN): FORMTEXT ??- FORMTEXT ?????Registration ID#: FORMTEXT ?????Registered State: FORMTEXT ??Type of Business Entity or Individual: FORMDROPDOWN Street address must show state where entity is registered Individuals SS# (SSN): FORMTEXT ???- FORMTEXT ??- FORMTEXT ????Individuals Birthdate: FORMTEXT ??- FORMTEXT ??- FORMTEXT ????Individuals Name:First: FORMTEXT ?????Middle: FORMTEXT ?????Last: FORMTEXT ?????Street Address: FORMTEXT ?????County: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ??Zip Code: FORMTEXT ????? Mailing Address: FORMTEXT ?????(complete mailing if differs from street address) County: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ??Zip Code: FORMTEXT ?????**Please list only one individual or business entity in each Guarantor section. Request form for additional guarantors.**Guarantor Information (Modifications include new unlimited guaranty forms for each guarantor to sign) Business Entity Name: FORMTEXT ?????Entities must have active status with SOS DBA/ABN Name: FORMTEXT ?????DBA/ABN Formation Date: FORMTEXT ??- FORMTEXT ??- FORMTEXT ????DBA/ABN State: FORMTEXT ??Tax ID# (TIN): FORMTEXT ??- FORMTEXT ?????Registration ID#: FORMTEXT ?????Registered State: FORMTEXT ??Type of Business Entity or Individual: FORMDROPDOWN Street address must show state where entity is registered Individuals SS# (SSN): FORMTEXT ???- FORMTEXT ??- FORMTEXT ????Individuals Birthdate: FORMTEXT ??- FORMTEXT ??- FORMTEXT ????Individuals Name:First: FORMTEXT ?????Middle: FORMTEXT ?????Last: FORMTEXT ?????Street Address: FORMTEXT ?????County: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ??Zip Code: FORMTEXT ????? Mailing Address: FORMTEXT ?????(complete mailing if differs from street address) County: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ??Zip Code: FORMTEXT ?????Guarantor Information (Modifications include new unlimited guaranty forms for each guarantor to sign) Business Entity Name: FORMTEXT ?????Entities must have active status with SOS DBA/ABN Name: FORMTEXT ?????DBA/ABN Formation Date: FORMTEXT ??- FORMTEXT ??- FORMTEXT ????DBA/ABN State: FORMTEXT ??Tax ID# (TIN): FORMTEXT ??- FORMTEXT ?????Registration ID#: FORMTEXT ?????Registered State: FORMTEXT ??Type of Business Entity or Individual: FORMDROPDOWN Street address must show state where entity is registered Individuals SS# (SSN): FORMTEXT ???- FORMTEXT ??- FORMTEXT ????Individuals Birthdate: FORMTEXT ??- FORMTEXT ??- FORMTEXT ????Individuals Name:First: FORMTEXT ?????Middle: FORMTEXT ?????Last: FORMTEXT ?????Street Address: FORMTEXT ?????County: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ??Zip Code: FORMTEXT ????? Mailing Address: FORMTEXT ?????(complete mailing if differs from street address) County: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ??Zip Code: FORMTEXT ?????Credit Union Requirements for Guarantor Financial Reporting Modification doc set includes guaranty forms for each guarantor, financial & tax information must match what was listed on original loanFinancial Statements: FORMCHECKBOX CPA Audited FORMCHECKBOX CPA Reviewed FORMCHECKBOX CPA Compiled FORMCHECKBOX Guarantor Prepared FORMCHECKBOX N/A (mark N/A if not applicable)Days Due After Fiscal Year End: FORMTEXT ?????Tax Returns: FORMCHECKBOX CPA Prepared FORMCHECKBOX Accountant Prepared FORMCHECKBOX Tax Professional Prepared FORMCHECKBOX Guarantor Prepared FORMCHECKBOX N/A (mark N/A if not applicable)Days Due After Required Filing: FORMTEXT ????? If customized guarantor language is needed enter it here: FORMTEXT ?????Borrowers financial & tax information appears in business loan agreement, this form is not generated on modificationsPlease Note: When additional space is needed, attach a word document with the additional informationEntity/Signer information on loan modificationsProvide, officers name, title and % of ownership for authorized signer for entity. (*this information is required below)Provide beneficial controller/natural person information for all borrowing entities. (*this information is required below)Resolution authorization form is not included with modification doc sets unless changes to signers are being made or CU requests.Resolution date is only necessary when resolution authorization is being provided in modification doc set. FORMCHECKBOX Provide resolution authorization form in modification doc set.Resolution Authorization Date: FORMTEXT ??- FORMTEXT ??- FORMTEXT ???? This date is when individuals below were authorization to sign for entity.Entity Name (legal SOS registered name of entity) FORMTEXT ????? FORMCHECKBOX Non-profit*required* Beneficial controller/natural person for borrowing entity: FORMTEXT ?????Officer Name *required*Officer Title *required*Ownership % *required*Authorized to sign?*required*Already Guarantor/Borrower on Loan?*required if answered NO* FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX No/Provide *TIN/SSN: FORMTEXT ?????*Birthdate: FORMTEXT ??- FORMTEXT ??- FORMTEXT ????*Address: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX No/Provide *TIN/SSN: FORMTEXT ????? *Birthdate: FORMTEXT ??- FORMTEXT ??- FORMTEXT ???? *Address: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX No/Provide *TIN/SSN: FORMTEXT ????? *Birthdate: FORMTEXT ??- FORMTEXT ??- FORMTEXT ???? *Address: FORMTEXT ????? FORMCHECKBOX Provide resolution authorization form in modification doc set. Resolution Authorization Date FORMTEXT ??- FORMTEXT ??- FORMTEXT ???? This date is when individuals below were authorization to sign for entity.Entity Name (legal SOS registered name of entity) FORMTEXT ????? FORMCHECKBOX Non-profit*required* Beneficial controller/natural person for borrowing entity: FORMTEXT ?????Officer Name *required*Officer Title *required*Ownership % *required*Authorized to sign?*required*Already Guarantor/Borrower on Loan?*required if answered NO* FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX No/Provide *TIN/SSN: FORMTEXT ?????*Birthdate: FORMTEXT ??- FORMTEXT ??- FORMTEXT ????*Address: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX No/Provide *TIN/SSN: FORMTEXT ????? *Birthdate: FORMTEXT ??- FORMTEXT ??- FORMTEXT ???? *Address: FORMTEXT ?????If additional space is needed, attach a word document or request an additional entity form to complete-documentation@Interest Accrual Method FORMCHECKBOX 365/365 FORMCHECKBOX 365/360 FORMCHECKBOX 30/365 FORMCHECKBOX 30/360Loan TypeTerm FORMCHECKBOX Revolving LOC FORMCHECKBOX Non-Revolving LOC FORMCHECKBOX Is loan type changing from original loan? FORMCHECKBOX No FORMCHECKBOX Yes/Provide details: FORMTEXT ?????Term Loan Payment Types: FORMDROPDOWN Principal and Interest (no escrow) specific payment amount to be listed in modification documents:$ FORMTEXT ?????Revolving Payment Types: FORMDROPDOWN % or $ FORMTEXT ????? Does Prepayment Penalty apply? FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX AddingProvide details if adding or changing: FORMTEXT ????? FORMCHECKBOX Provide amortization schedule with modification doc set. (this is not available for LOC loans)Modification Rate Structure detailsFixed Rate: FORMTEXT ?????%Did original loan have a fixed rate? FORMCHECKBOX No FORMCHECKBOX Yes / Provide details if applicable: FORMTEXT ?????Variable Rate: FORMTEXT ?????% tied to Rate Index: FORMDROPDOWN If other, explain - (i.e. FHLB provide index): FORMTEXT ????? Margin: FORMTEXT ?????% Date first rate change will occur: FORMTEXT ??- FORMTEXT ??- FORMTEXT ???? Tier structure for rate change, if applicable: FORMTEXT ????? (i.e. tier for 180 term with rate changing every 5 years = 60,60,59,1. Etc.) Does rate have adjustment restrictions? FORMCHECKBOX No FORMCHECKBOX Yes – Complete as applicable Ceiling: FORMTEXT ?????% Floor: FORMTEXT ?????% and/or Periodic Rate Change Cap: FORMTEXT ?????% (max increase/decrease in one change period)Maturity: FORMCHECKBOX Months FORMCHECKBOX Years FORMTEXT ?????This is for remaining information from original loan unless extending loan term etc.Balloon loans: FORMCHECKBOX Months FORMCHECKBOX Years FORMTEXT ?????Original Loan Rate Structure details Was rate fixed? FORMCHECKBOX Yes – Rate: FORMTEXT ????? FORMCHECKBOX No – Provide variable rate details: Rate: FORMTEXT ????? Index Type: FORMTEXT ????? (5 yr. TCM, WSJ Prime etc.) Margin: FORMTEXT ????? Floor, Ceiling or Periodic rate change cap details: FORMTEXT ?????Is loan index type changing from original loan? FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX AddingProvide details: FORMTEXT ?????Please Note: When additional space is needed, attach a word document with the additional informationCollateral Details List all collateral tied to loan. If new real estate collateral is being added current title work must be providedThis information is mandatory, should only be left blank if loan is unsecuredUnsecured: Unsecured-No collateral on loan: FORMCHECKBOX (Skip to fee section when unsecured)Real Estate Collateral Details: Additional space needed? Attach a word documentProperty type: FORMCHECKBOX 1-4 Family - FORMCHECKBOX Non-Residential - FORMCHECKBOX Multi-Family - FORMCHECKBOX Land - FORMCHECKBOX Other type of real estate collateral details: FORMTEXT ?????Property address and county: FORMTEXT ?????Property tax pin &/or map number: FORMTEXT ????? Recording details for Deed/Mortgage: FORMTEXT ????? (date recorded, book#, page# etc.)Was assignment of rents taken on this real estate property? FORMCHECKBOX No FORMCHECKBOX Yes-Provide recording details: FORMTEXT ?????(date, book & page#) Provide details on additional forms involved as in subordinations, letters of credit, hazardous substance, etc.: FORMTEXT ?????Was there a fixture filing taken on this property? FORMCHECKBOX Yes FORMCHECKBOX NoTitled Collateral:VIN/Serial #: FORMTEXT ????? Year: FORMTEXT ????? Make: FORMTEXT ????? Model: FORMTEXT ?????Other Collateral:Other Collateral - Specific details: FORMTEXT ????? (i.e., All Assets, Equipment, Deposit Account, etc.):Any collateral changing from original loan? FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX Adding FORMCHECKBOX Releasing Provide details: FORMTEXT ?????Did original loan have cross-collateralization? FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX Adding Provide details: FORMTEXT ?????Please Note: When additional space is needed, attach a word document with the additional informationVested owner of collateral: Provide current title work if adding real estate collateral. If different vested owners apply to various collateral, attach a separate word document with details. Vested Owner of collateral: FORMTEXT ?????If vested owner is not a borrower/guarantor on the loan provide SSN/TIN # and address: FORMTEXT ?????Trustee on Deed of Trust/real estate loans: Name: FORMTEXT ????? Address: FORMTEXT ?????Trustee is state specific information & appears in Deed of Trust, if applicable for state real estate is located it will appear in modification of Deed of Trust.Collateral Insurance Information: Insurance forms are produced on modifications if required by collateral state, collateral is added, information for ins. has changed or CU requestsDo you want insurance forms provided? FORMCHECKBOX No (unless state required) FORMCHECKBOX Yes-Complete insurance details belowInsurance Details:(if applicable) FORMTEXT ????? (i.e., Ins. Co. Name, Address, Agent’s name, Phone#, Insured value, Policy #, etc.)Deductible:$ FORMTEXT ?????(Standard default for deductibles is RE $1,000/Non-RE $500)Do you want fees listed within modification documents? FORMCHECKBOX No FORMCHECKBOX Yes-Complete fee details belowFees:Term Loans – List out previously disbursed amount, this will appear in disbursement form within modification doc set. (*Required) LOCs – List remaining amount available to draw. (*Required)Description of Fees(Fees entered below will appear in modification doc set)Payable to CU or Other:(include acct # if applicable)$ Amount(use decimal points) Paid out of loan proceedsPaid in cash at closing FORMTEXT Odd Days Interest??? ? FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ????? FORMTEXT Modification Fee??? ? FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Term Loan – Amount previously disbursed (*Required) $ FORMTEXT ?????LOC – Amount available to draw (*Required) $ FORMTEXT ?????Additional InformationPlease add any additional details that will help us prepare the modification documents here: FORMTEXT ?????Please Note: When additional space is needed, attach a word document with the additional information ................
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