Stop Foreclosure -- Application

Stop foreclosure. Please fill out the form below to give us the information we need to help you.

We want to make sure that we actually can help you. This information will help us determine the best way to save your home, minimize any losses, and preserve your credit.

We'll get back to you as soon as possible.

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If Foreclosure Sale Date is less than a month you need to Call Now

201-266-0727

Ask for Help

Please note that all fields followed by an asterisk must be filled in.

Due to huge demand please, indicate the best date and time we should call you*
Due to huge demand please, indicate the best date and time we should call you*

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Home Phone*
Home Phone*

Business Phone

Fax

Do you want to keep your home?*
Do you want to keep your home?*

Have you experienced financial hardship?*
Have you experienced financial hardship?*
Yes
No

Has the hardship been resolved?*
Has the hardship been resolved?*
Yes
No

Could you resume making your normal mortgage payment(s)?*
Could you resume making your normal mortgage payment(s)?*
Yes
No

How much money do you have saved up which you can apply to your mortgage? $$*
How much money do you have saved up which you can apply to your mortgage? $$*

Employer*
Employer*

Spouse Employer

Spouse Work Phone

Dependent Ages*
Dependent Ages*

Purchase Price*
Purchase Price*

Month/Year Purchased*
Month/Year Purchased*

Last Refinance: Month/Year

Amount of Refinance:

Foreclosure Auction Date*
Foreclosure Auction Date*
Less than 30 days
More than 30 days

1st Mortgage Lender - To whom do you make your mortgage payment?*
1st Mortgage Lender - To whom do you make your mortgage payment?*

1st Mortgage Loan Type

1st Mortgage Balance*
1st Mortgage Balance*

1st Mortgage Payment*
1st Mortgage Payment*

1st Mortgage Interest Rate*
1st Mortgage Interest Rate*

Is this an adjustable rate mortgage (ARM)?*
Is this an adjustable rate mortgage (ARM)?*

When did or will the interest rate adjust? Month/Year

Are property taxes included?*
Are property taxes included?*

Is homeowners insurance included?*
Is homeowners insurance included?*

2nd Mortgage Lender*
2nd Mortgage Lender*

2nd Mortgage Loan Type

2nd Mortgage Balance*
2nd Mortgage Balance*

2nd Mortgage Payment*
2nd Mortgage Payment*

Monthly Real Estate (property) Tax*
Monthly Real Estate (property) Tax*

Market Value of your house*
Market Value of your house*

Monthly Electricity Bill*
Monthly Electricity Bill*

Monthly Heating Bill*
Monthly Heating Bill*

Monthly Water/Sanitation Bill*
Monthly Water/Sanitation Bill*

Monthly Telephone Bill*
Monthly Telephone Bill*

Monthly Medical and Drug Expenses*
Monthly Medical and Drug Expenses*

Auto Insurance (Monthly Expense)*
Auto Insurance (Monthly Expense)*

Monthly Cable Television / Internet*
Monthly Cable Television / Internet*

Monthly Transportation (Gas, Bus, Other)*
Monthly Transportation (Gas, Bus, Other)*

Monthly Automobile Payments*
Monthly Automobile Payments*

Monthly Total MINIMUM Payments of Credit Cards*
Monthly Total MINIMUM Payments of Credit Cards*

When did you send your last mortgage payment?*
When did you send your last mortgage payment?*

Additional comments

How did you find us?*
How did you find us?*