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LET US HELP YOU END THE FORECLOSURE NIGHTMARE Simply fill in the form below and submit. We'll analyze your situation and give you a free, no obligation evaluation with some possible solutions for you to consider. All information kept strictly confidential. Your Information Name Phone - -   Home Address   Property Address (if different)   Email   How'd you hear about us? Newspaper Street Signs Postcard Flyer Website Other Your House's Details Year Built Square Footage   Type of siding Vinyl Siding Brick Brick Wrap Wood Siding Stucco   Type of home Two-Story Ranch Split Level   Number of bedrooms 2 Bedroom 3 Bedroom 4 Bedroom 5 Bedroom   Number of bathrooms 1 Bath 1.5 Bath 2 Bath 2.5 Bath 3 Bath 4 Bath   Extras Ceiling Fans Fireplace Fenced Yard Pool   Below the house Unfinished Basement Finished Basement Concrete Slab Crawl Space   Garage 1 Car Garage 2 Car Garage 3 Car Garage Carport None   Water / Waste City Water / Sewer Well / Septic Tank   House listed with a Realtor? No Yes   If so, when does listing expire? Financial Details How much do you owe on your house? How much is your house worth?   1st Mortgage Balance   1st Mortgage Payment   2nd Mortgage Balance   2nd Mortgage Payment   Equity Line (or other Liens)   Equity Line Payment   Total Monthly Payments   All payments current? Yes No   If payments behind, how many?   If payments behind, how much?   Have you received: Foreclosure Warning Letter Notice of Foreclosure   If so, when?   Has a foreclosure date been set ? No Yes   If so, when?   Is the house attached to Bankruptcy? No Yes   House currently occupied? Yes No   Describe any repairs needed to House:   Additional Comments

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