Contact Information
Borrower's Full Name (required)
Email (required)
Phone Number
Name All Other Borrowers (required)
Military Status (required)
Status as a service member or veteran of the United States Armed Forces can be beneficial in finding a solution to your current housing situation
N/A Active Duty Reserves Retired
Property Street Address (required)
Street Address
Address Line 2
Does Your Property Have a Condo Association or Home Owner's Association? (required)
Yes No
Are You Current on your Condo/HOA dues? (required)
Yes No N/A
Loan Information
Year Loan Obtained/Refinanced (required)
Approximate Loan Balance (required)
Please just include the unpaid principal balance (UPB), not the past due amounts, costs, late fees, etc. Thanks.
Is the Loan Current? (required)
Yes No
Current Interest Rate (required)
Loan Servicer (required)
The servicer is usually the company that appears on any letters or contact you have regarding your mortgage, including your monthly statements.
Loan Type (required)
FHA VA Conventional
Previous Loan Modification (required)
If you have attempted a short sale or loan modification please let us know in the summary box below. Already attempted a Short Sale This loan has previously been modified twice This loan has previously been modified once Currently attempting modification Past failed attempt at modification No previous modification attempts Other
How many loans against this property, total? (required)
Includes Second Mortgages, Home Equity Line of Credit (HELOC), etc.
Property Use (required)
Rental Vacant Current primary residence
Any known judgments? (required)
Yes No
Financial Information
Approximate Monthly Gross Income
This is your monthly income from all sources before taxes and deductions. This will be kept private; we only ask because your income vs. expenses is relevant to evaluating your matter.
Approximate Total Monthly Expenses (required)
Please include your monthly mortgage payment, even if you are not currently paying it. This information will be kept confidential and is necessary for us to be able to evaluate your situation.
Foreclosure Case Status (required)
If you have a foreclosure deadline, we need to know that as soon as possible, so please be sure to include that in this section. Received Certified Mail from Lender Lender has appointed a trustee for foreclosure Foreclosure date set None of the above
Please list the legal deadline, if any and explain the deadline. (required)
Bankruptcy ("BK") (required)
I went through BK in the past, case closed. I am currently in BK. I would consider BK to delay foreclosure. I am not sure if I would consider BK to delay foreclosure. BK is not an option for me. None of the above.
Please provide a summary of your circumstances
Attach Key Documents (optional)
Who Referred You?
How did you come to hear about us? (choose up to three)
Referral from non-attorney Referral from real estate agent Referral from attorney Returning client Internet search for legal services An online article/blog by the Firm Other online attorney database Other