Stop Foreclosure - Save Your Home - Time Is Your Enemy

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Fast Response Form

So that we can give you a full and complete understanding of your options, and give you unbiased advice on your individual situation, simply fill out this form as completely as possible and we will promptly contact you to discuss your options. For faster service call us direct! Call (561) 723-4182.

As a matter of fact, we can act almost immediately after the information on this form is processed. We are ready to move quickly and can usually handle any size transaction.

We are asking for a lot of information in this form. The reason is simple. If we are working with you in regard to a property, timing is frequently what makes a transaction happen. If we can't reach you to ask or answer a critical question, a potential opportunity might be lost. Don't worry, we will never bother you with unimportant issues and we will carefully respect and protect your privacy.

The information you provide on this form will remain confidential
You may rest assured that all information provided via this form and/or
via our conversations will be kept in the strictest of confidence.

Hint: When filling out on-line forms you can use your "tab" key to easily move from field to field.

Tell us about you...

Your name:
(Required)

Address:
(Required)

City:
(Required)

State:
(Required)

Zip:
(Required)

E-mail address:

Repeat E-mail address:

Cell Phone:
(Please include Area Code)

Daytime phone:
(Please include Area Code)

Evening phone:
(Please include Area Code)

Fax:
(Please include Area Code)

Tell us about the property...

Property street address:

Property city, state and zip:
(Please include City, State, & Zip)

The Property is currently:

Bedrooms:

Baths:

Square footage:

Age of House:

Garage:

What is the general condition of the house?

Please describe any needed repairs in this box:

Tell us about the numbers...

How much do you feel the property is worth?

1st mortgage balance:

1st mortgage payment amount:

Does the 1st mortgage payment include taxes and insurance?

Are there other mortgages on the property?

What is the combined balance of all mortgages?

What is the combined monthly payment on all mortgages?

Please tell us about any other liens and/or other title problems that may affect this property by typing an explanation here:

Are all mortgage payments current?
If payments are current click here

If payments are not current, how far behind are they?

1st mortgage
$ Amount behind
$

# of payments behind

Mortgage company name

2nd mortgage
$ Amount behind
$

# of payments behind

Mortgage company name

Other mortgage
$ Amount behind
$

# of payments behind

Mortgage company name

Have you received a foreclosure notice?

Has a foreclosure sale date been set?

If date has been set, what is the sale date?
(Please include mm/dd/yyyy)

If your anticipated foreclosure date is less than two weeks away, unfortunately, since foreclosure prevention requires at least two weeks advance notice, we are unable to help you at this time. If you are interested in other options, please click here for information on our debt consolidation loan.

Desired Outcome...

Ultimately would you prefer to?

Further Comments...

Please provide any further comments that you feel are important in the box below.
If this form is to stop foreclosure, please tell us more about your particular situation.
For instance, what caused you to fall behind and has your situation changed since
you first fell behind. Please include any other information that you feel will be helpful.

Comments

Thank you for providing your information.

Please click the "Submit" Button ONE TIME ONLY !!!
and then be patient while the form completes its processing.

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