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*
First and Last Name:
*
E-mail:
*
Tel:
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What's the best time to call?
Anytime
Mornings
Afternoons
Evenings
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Property Address:
*
City and County:
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State:
Alabama
Alaska
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California
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District of Columbia
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South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territories
*
Zip Code:
*
Have an auction date?
Yes
No
*
Are you behind on your payment?
Yes
No
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What type of loan do you have?
Adjustable Rate Mortgage
Interest Only
Negative Amortization
Pick-A-Pay
Fixed Rate
80/20
Balloon Payment
Other
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Received 3-Day Right to Cancel paper?
Yes
No
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Did you ever try to cancel your loan ?
Yes
No
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Is your current lender on your closing docs?
Yes
No
*
Who is the Primary Mortgage Payee:
American Home Mortgage
Aurora Loan Servicing
Bank of America
Branch Bank and Trust
Citi Corporation
Countrywide Home Loans
Chase
EMC Mortgage
First Horizon Home
GMAC
Home Loan Services
HomeEq Servicing
HSBC
Indymac Bank
Litton Loan Servicing
LoanCare Servicing Center
MetLife Homes
National City Mortgage
Nationstar Mortgage
Ocwen Loan Servicing
Pittsburgh National Corp.
Residential Credit Solutions
RoundPoint Servicing
Saxon Mortgage
Portfolio Servicing
SunTrust Mortgage
US Bank
Washington Mutual
Wells Fargo Home Loan
Other or Unknown
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Did your lender say the loan was being sold?
Yes
No
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Pay taxes & insurance in monthly payment?
Yes
No
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Recieved annual escrow statement each year?
Yes
No
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Did you get written proof of debt obligation?
Yes
No
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Is either borrower receiving disability income?
Yes
No
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Borrower report disability income on application?
Yes
No
*
Borrower receiving compensation income?
Yes
No
*
Workmen's compensation on loan application?
Yes
No
*
Do you have more than one mortgage?
Yes
No
*
If you are behind, please tell us why (Select One Main Reason)?:
Unemployment
Reduced Income
Divorce
Reduced Income
Separation
Medical Bills
Too Much Debt
Death of my Spouse
Death of a family member
Payment Increase
Business Failure
Job Relocation
Illness
Damage to Property
Military Service
Incarceration
Other
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If you think you have a bad mortgage, please tell us why (Select One Main Reason)?
You Were Mislead
Talked into High Rate
Talked Into an Adjustable Rate
Upside Down
Bad Repayment Plan
Did Not Know You Could Cancel
Tried To Cancel but No Response
You Could Never Afford the Mortgage
Didn't Know about Having to Pay Taxes
Didn't Know about Having to Pay Insurance
Payments Went Up Too Much
Your Estimate Wasn't Close To Final Amount
You Have A Balloon Payment
Your Principal Balance Keeps Increasing
Never Got A Copy of Your Appraisal
Feel You Were Taken Advantaged Of
Other
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Purchase or Refinance:
Purchase
Refinance
Other
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Did you refinance your loan less than 3 years ago?
Yes
No
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Did you receive your credit score results in writing?
Yes
No
*
Were you turned down for a loan modification by your existing lender?
Yes
No
*
Would you like a Free Consultation?
Yes
No
*
If yes, for consultation, what type of help do you want?
File Law Suit
Mitigation
Modification
Foreclosure Prevention
Do you have a sale date?
Yes
No
Did you receive any notices that said "Assignment" or "MERS"?
Yes
No
When your loan changed hands, did the loan balance or monthly payment change?
Yes
No
Do you believe you have made misapplied payments, or payments not credited to your balance?
Yes
No
Has your lender misled you regarding assistance or broken any agreements?
Yes
No
Have you been denied for a loan modification or other mortgage relief assistance?
Yes
No
Did you begin a trial modification, then have your lender decline a permanent modification?
Yes
No
*
Estimated Property Value:
$0-$50,000
$50,001-$100,000
$100,001-$150,000
$150,001-$200,000
$200,001-$250,000
$250,001-$300,000
$300,001-$350,000
$350,001-$400,000
$400,001-$450,000
$450,001-$500,000
More than $500,000
*
Mortgage Balance:
$0-$50,000
$50,001-$100,000
$100,001-$150,000
$150,001-$200,000
$200,001-$250,000
$250,001-$300,000
$300,001-$350,000
$350,001-$400,000
$400,001-$450,000
$450,001-$500,000
More than $500,000
*
Interest Rate:
2.00%
2.25%
2.50%
2.75%
3.00%
3.25%
3.50%
3.75%
4.00%
4.25%
4.50%
4.75%
5.00%
5.25%
5.50%
5.75%
6.00%
6.25%
6.50%
6.75%
7.00%
7.25%
7.50%
7.75%
8.00%
8.25%
8.50%
8.75%
9.00%
More than 9.00%
*
Estimated Mortgage Payment:
*
Estimated Gross Monthly Household Income:
*
Mortgage Status:
Current
Delinquent
Default
Filed Foreclosure
Sale Date
Sold
Pre-Eviction
*
Have you filed for Bankruptcy, and is it still in place?
Yes
No
*
If filed for BK, what type of BK did you file?
Chapt. 13
Chapt. 7
Chapt. 11
Sale Date (if applicable):
*
What is your goal? (Include additional comments):
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