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First Name:
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Last Name:
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E-mail Address:
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Phone Number:
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Comments:
Fax Number:
Prefered method of contact:
Phone
Email
Is your home currently on the market? If so, do you have it listed with a real estate agent?:
Who’s your mortgage company/lender?:
What kind of loan do you have? (FHA, VA, Conventional, Home Equity):
Is there more than one mortgage lien on your property? (2nd Lien, 3rd Lien, Etc.) If so, who are the lenders on the other liens?:
How many months behind on payments are you?:
When did you purchase your home?:
How much did you originally pay for your home?:
How much do you currently owe? (If you're not sure pull your latest mortgage statements and tell the principle balance of the loan(s)).:
Have you taken out a home equity loan? If so, when?:
Who is on title to the property?:
Who is on the note? (husband, wife, parent, relative, co-signer, etc.):
Where is your home located? Address?:
Describe your home for me? :
Are you currently living in the property? If no, where are you currently living? Are the utilities still on at the property?:
Are you current on your utilities? What about Homeowner Association (HOA) dues? If not current, how much is owed? :
If the situation is related to divorce or separation, has the other spouse moved out? Will the other spouse be cooperative in signing paperwork?:
Are there any outstanding judgments and/or liens that you are aware of? :
What is the condition of the property? :
What correspondence have you received from your lender? Certified Letters? Notice of Default? Notice of Acceleration? Notice of Foreclosure Proceedings? :