St. Clair County, IL · St. Clair County
Foreclosure Program Initial Questionnaire
Homeowners complete this questionnaire to help the mediation administrator determine whether their foreclosure case may be suitable for mediation.
At a glance
- Issued by
- City of St. Clair County · St. Clair County, St. Clair County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- co.st-clair.il.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This questionnaire provides information for an initial assessment of whether a foreclosure case is suitable for mediation. Homeowners complete it before their Initial Intake Conference, providing household, mortgage, income, expense, asset, and payment-history details. The form also asks the signer to affirm that the information is complete and accurate under penalty of perjury.
Who needs it
A homeowner in a foreclosure case who is attending the Initial Intake Conference should complete this questionnaire and bring it to the meeting.
How to submit it
Complete the questionnaire and bring it to the Initial Intake Conference. The summons includes the meeting date, time, and location.
About notarization
This questionnaire is signed and dated without a notary; the signer affirms under penalty of perjury that the information is complete and accurate.
How to submit this form
- 1
Download the Questionnaire
Download the Foreclosure Program Initial Questionnaire.
- 2
Complete the Form
Provide the requested borrower, mortgage, household, asset, income, expense, and payment-history information.
- 3
Sign and Date
Sign and date the questionnaire; the signer affirms the information is complete and accurate under penalty of perjury.
- 4
Bring It to the Conference
Bring the completed questionnaire to the Initial Intake Conference. Find the meeting date, time, and location in your summons.
Frequently asked questions
- Do I need a notary for the Foreclosure Program Initial Questionnaire?
- No. The questionnaire has signature and date lines but no notary block. The signer affirms under penalty of perjury that the information is complete and accurate.
- How do I submit the Foreclosure Program Initial Questionnaire?
- Complete the questionnaire and bring it to your Initial Intake Conference. Your summons provides the meeting date, time, and location.
- What information does the questionnaire ask for?
- It asks about the borrower and household, mortgage, missed payments, assets, monthly income and expenses, and circumstances that caused missed payments.