Fight Foreclosure E-mail Form

Please fill in the following form, then press the SUBMIT button.
All information submitted herein shall remain strictly confidential.
If in doubt about an answer, enter "?"

Contact Information
first name
last name
address 1
address  2
city
state
zip
daytime phone	( )
evening phone	( )
fax	( )
e-mail
Mortgage Information
mortgage date
mortgage amount	$
initial interest rate	%
type of interest rate	fixed adjustable
purpose of mortgage choose one	purchase home pay off personal bills pay off previous mortgage finance a business
approximate amount of recent monthly payments	$
date of last payment accepted by bank
was loan obtained through broker?	yes no
Legal Information
has lender filed and/or served a lawsuit?	yes no
lawsuit case number
date you were served
have you filed answer?	yes no
was a summary judgement entered?	yes no I don't know
does the lawsuit claim the mortgage and/or note as lost?	mortgage & note lost mortgage lost note lost neither lost
were there earlier lawsuits foreclosing this mortgage?	yes no
if yes, previous case number(s)
date lawsuit(s) were filed
have you filed bankruptcy in the last 12 months?	yes no
comments

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