| First
and
Last Name
| E-Mail
|
| Tel
| What's
the best time to
call?
|
Property
Address
| City
|
| State
|
Zip Code
|
| Do you have an auction
date?
| Have
you ever received a
default notice?
|
| What
type of loan do you have?
|
If you
refinanced, did you receive a 3-Day Right to Cancel paper at
closing?
|
| If you refinanced, did you ever try to
cancel your loan ?
|
Is the
lender listed on your closing papers the same as the
lender you pay today?
|
What
is the lender's
name for the primary mortgage?
| Did your
lender tell you your loan was
being sold?
|
| Do you pay your taxes and/or insurance
in your monthly payment?
|
Have you
received your annual escrow
statement each year?
|
| If you
are behind, were you told that you can get written proof of your debt
obligation?
|
Is
either borrower receiving disability income?
|
| Did
either borrower report disability income on your loan
application?
|
Is
either borrower receiving workmen's compensation
income?
|
| Was
workmen's
compensation on your loan application?
|
Do you have more
than one mortgage?
|
If
you are behind,
please tell us why (Select One Main Reason)?
If you think you have a
bad mortgage, please tell us why (Select One Main Reason)?
Did you refinance your
loan less than 3 years ago?
Did
you receive your
credit score results in writing?
Were
you turned down for
a loan modification by your existing lender?
Coupon
Code
|