Form

ABOUT WHAT'S MOST IMPORTANT TO YOU - - - - - - - - - - - - - - - - - - - - - - - - - - - -

This form is about you and your goals. In this section we'll find out what's most important for you, allowing us to focus just on that.
* * * CONFIDENTIAL INQUIRY FORM * * *

The information contained herein, enables the attorneys to find the most appropriate course of action: FORECLOSURE / LOAN MOD / SHORT SALE / DEED IN LIEU / BANKRUPTCY. Please note that you can also meet the attorneys IN PERSON absolutely for FREE and there will never be any obligation. This is advantageous to you as you can ask a number of questions specific to your circumstances. First we'll try to address what it is that is most important to you, so we all can focus on that...
My Highest Priorities Are To...

Explore All The Options & Find A Solution To My Mortgage Problem Get A Loan Modification & Keep The Mortgage Underwater Sell The Property And Get Me $3,000 In Moving Assistance Give The Property Back To The Bank (Deed In Lieu) Find Out The Real Consequences of Foreclosure
PERSONAL INFORMATION (the information provided is absolutely confidential) - - - - - - - - - - - -

Again, all the information we gather here is totally confidential. You will not receive calls or emails pressuring you to do one or another thing. We only focus on what's most important for you. GUARANTEED !
Your Name
First Name Last Name
E-mail (No Spam)*
Phone Number
- Area Code Phone Number
Marital Status

Single Single w/ partner Marr. /Separated Married Starting divorce Divorce in Process Divorced Widowed
Hardship*
Please describe your hardship in as much detail as possible
ABOUT THE PROPERTY - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Property Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Property Condition*

Top Condition Good Average Fair Fixer
Repairs Needed
Is the Property Listed Now?

Yes No Plan on Listing
Was it Listed in the Past?

Yes No
If Listed in the Past... with who?

Realtor Limited Service By Owner
Did you get an offer(s)

Yes, but my lender wanted more money Yes, but the buyer got cold feet Yes, but my agent did not know how to handle it No
Was Your Realtor Knowledgeable?

Yes Somewhat No
Are You Aware Of The Effects Of Foreclosure?

Yes No
Has the bank started Foreclosure? (Notice of Trustee Sale)

Yes, but it is inactive Yes, it is active now No, only the Notice of Default No
ABOUT YOUR INCOME - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Empoyment Status

1 x F/Time Job 1 x P/Time Job 2 x P/Time Jobs Unemployed w/ Benefits Unemployed no Benefits
Net Income / month
Aprox Take Home Income
ABOUT YOUR MORTGAGE(S) & OTHER DEBT - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1st Mortgage Amt
1st Mortgage Lender
1st / # Months Late
2nd Mortgage Amt
2nd Mortgage Lender
2nd / # Months Late
Other Liens
(Water/Sewer, HOA, WA Dept of Revenue, Child Support, IRS, Judgement...)
Do You Know Of Any Other Issues That May Affect The Title Of Your Property?
Credit Card Debt (Aprox Amt)
Other Debt (Aprox Amt)
Auto Loan (Aprox Amt)
ABOUT LOAN MODIFICATION - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

A LOAN MODIFICATION is a change in your loan structure which, depending on what your late payment amount is, could reduce your monthly payment to the lender. On the positive side, this option may allow you to keep your home. On the negative side, your mortgage would continue "underwater" for years to come.
Interested in a Loan Mod?

Yes No
Did You Apply For a Loan Mod Before?

Yes, but I have not started Yes, I am in a trial period Yes, but it was rejected No
ABOUT BANKRUPTCY - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

In some situations, the most appropriate course of action is to file Bankruptcy. If this is the case, the attorney will have a conversation with you as to what is needed to proceed and what the expected benefits will be.
Have you filed Bankruptcy recently?

Yes, Chapter 7 Yes, Chapter 13 No
Interested in comparing Bankruptcy vs. Foreclosure?

Yes No
ABOUT THE COMPLIMENTARY ATTORNEY CONSULTATION - - - - - - - - - - - - - - - - - - - -

We continuously work with real estate and bankruptcy attorneys to negotiate with the banks to achieve the goals you have. This attorney consultation is FREE and there is never an obligation. Even though that the consultation is free, the attorney is legally required to provide you their unbiased opinion as to what's best for you.
Interested in a Complimentary Legal Consultation with an Attorney to explore your options?

Yes No
If so, what days & times work best for you?
Should be Empty:

* * * CONFIDENTIAL INQUIRY FORM * * *