Borrower and non-borrower contributor
acknowledgment form
Adding another’s income to your review for FHA assistance
Use this form to acknowledge the terms to add a non-borrower contributor to your application for payment assistance.
You as the borrower, any co-borrowers, and the non-borrower contributor must sign, date, and return this form within 30
days from today’s date.
What you need to know
• A non-borrower contributor is a person who:
o Currently lives with the customer (borrower) in the home as their primary residence.
o Is listed as or will be added as an owner on title to the property.
o Is not currently a borrower on the loan.
o Has agreed to include their income in the review of the borrower’s application for payment assistance.
• If we’re able to approve your application for payment assistance, including the non-borrower contributor’s income, the
non-borrower contributor may be required to assume the loan. The type of assistance the loan is approved for will
determine whether the non-borrower contributor will need to assume the loan, based on Federal Housing
Administration (FHA) guidelines.
o An assumption means that the non-borrower contributor will become a co-borrower. This means that they too will
be responsible for repaying the loan. If the non-borrower contributor chooses not to apply to assume the loan,
then their income won’t be included in your application for payment assistance.
o If the non-borrower contributor assumes the loan and any payments become past due, your and the non-borrower
contributor’s credit scores may be negatively impacted.
o The application for payment assistance must be approved before the mortgage assumption application can begin.
o Having the non-borrower contributor assume the loan will not release you of liability.
• If we approve the application for payment assistance, both you and the non-borrower contributor may be required to
make trial payments.
• Important information if you move forward with this process: The letters that we send to you are also intended for the
non-borrower contributor as a resident in the home. These letters may include requests for information and actions
you’ll need to take.
What you need to do
• If you decide to include the non-borrower contributor’s income on your application for payment assistance and agree
to the terms, then you as the borrower, any co-borrowers, and the non-borrower contributor as the assumer must sign
and date this form.
• Please return the form to us within 30 days from today’s date.
Borrower name
Property address
Mortgage account number
Non-borrower contributor name
Co-borrower name
Co-borrower name
Agreement
By signing below, we — the borrower, co-borrowers, and non-borrower contributor — agree to these terms as part of the
request for an application for payment assistance and mortgage assumption. We understand and agree that:
• We will respond to all letters and requests.
• All applicants live in the home as our primary residence.
• The non-borrower contributor is an owner on the title to the property or will be added as an owner to the title to the
property.
• The non-borrower contributor assuming the loan will not release any borrower from liability on the mortgage note.
• Wells Fargo may access the credit reports for all borrower, co-borrowers, and non-borrower contributor participating
in the evaluation.
• Receiving payment assistance may impact my credit.
• Applying for payment assistance (such as for a loan modification) or to assume the loan does not guarantee approval.
• Wells Fargo must first approve the application for payment assistance and then evaluate the need for a mortgage
assumption. If the mortgage assumption is not approved, then this payment assistance request will be canceled and
other options may be available.
Borrower signature
Co-borrower signature
Co-borrower signature
Non-borrower contributor signature
Date
Date
Date
Date
Please submit this form to us in one of the following ways:
Mail: Wells Fargo Home Mortgage
MAC X9999-01N
PO Box 1629
Minneapolis, MN 55440-9790
Fax: 1-866-359-7363
Online: wellsfargo.com/hometrack
Sign on and select Personal > Loans and Credit > Mortgage Loans > Wells Fargo - OAS.
Please keep a copy of this agreement with your records.
HP850f Borrower and non-borrowing contributor acknowledgment form
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