Declaration of Default
Request to Initiate Foreclosure Process
Churchill Associates, Inc.
2058 North Mills, Suite 537
Claremont, CA 91711
Office: 909-625-3938
Toll Free: 888-925-3938
Facsimile: 909-625-4992
Email: churchill@foreclosuretrusteeservices.com
Califoria Declaration of Default and Request to Initiate Foreclosure Process
Authorization to Proceed
The undersigned hereby instructs and authorizes Churchill Associates, Inc. as trustee and agent to initiate and/or complete the foreclosure process including filing and signing any required documents on the promissory note and Deed of Trust or other document as referenced in the declaration.
___________________________________
Authorized Signature
Documents Needed
Please make sure to sign the declaration and then mail and/or fax a copy of the documents along with the declaration to Churchill Associates, Inc.
_____________ Promissory Note / loan and any notifications or extensions
_____________ Deed of Trust and any assignments
_____________ Substitution of Trustee (this must be notarized)
How has the Borrower Defaulted
__: Failure to pay monthly installments of principle and/or interest when due
__: Failure to pay loan that is now due in full. Has 90 days delinquent
Payment notice has been sent? _____ yes ______ no
__: Failure to pay taxes, assessments, etc. when due
__: Failure to maintain fire or other required insurance
__: Failure to comply with other required terms of the note and/or Trust Deed as follows: __________________________________________________________________.
Subject Property
Street Address:____________________________________________________
City___________________ State______ Zip Code _______________________
Borrower / Property Owner Information
Name of Borrower:__________________________________ SS#:_____________
Name of Borrower Spouse (if applicable) ________________________________ SS#_______
Address of Borrower:____________________________________________________
City___________________ State______ Zip Code ____________________________
Contact Information for Borrower:
Telephone:______________ Mobile Telephone:________________________
Email address: __________________________________________________
Contact Information for Borrower’s Spouse (if applicable):
Telephone:______________ Mobile Telephone:________________________
Email address: __________________________________________________
Provide any other known mailing address of the Borrower:
1. Street Address:__________________________________________________
City___________________ State______ Zip Code _______________________
2. Street Address:____________________________________________________
City___________________ State______ Zip Code _______________________
Loan Information
Original Principle Amount: $_________________ Interest Rate: ____________
Date Loan Signed: __________________ Term of the Loan (Maturity) _____________
Payment Amount: $_________________ Last Payment Made: ___________________
Principle Due: $_____________________
Interest Due (Accrued): $___________________
Late Charges due: $____________________
Advances by Lender due: $_____________________
Amount to Reinstate Loan: $____________________ (total of above)
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