JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Home Assistance Request
Please fill out the below form to get free assistance on your property. Your information will be kept confidential and we will not share or distribute any details with 3rd parties, ie. banks, lenders, debt collectors, etc.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Disclosure:
Disclosure: We are not a collection agency and we are not collecting any debts. We are not attorneys and the contents of this letter does not represent any legal advice. We are no associated with any lenders, banks, attorneys or mortgage companies. We are not a government agency. All information contained is publicly available. We are not liable for any errors depicted of public notices. We abide to the National Industry Standards for Homeownership Education and Counseling and compliant to Texas Real Estate law.
**FIRST HOME OWNER**
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Cell Phone
*
Your answer
**SECOND HOME OWNER**
The second person who owns the house or is on the mortgage. If only one person, then disregard this section and proceed to PROPERTY INFORMATION.
First Name
Your answer
Last Name
Your answer
Email
Your answer
Cell Phone
Your answer
**PROPERTY INFORMATION**
Property Address
*
Your answer
Property City
*
Your answer
Property State
*
Your answer
Property Zip
*
Your answer
**LENDER INFORMATION**
Bank Name
Your answer
What is your current monthly mortgage payment?
Your answer
How many months behind?
Your answer
Have you received a Notice of Default Letter from Bank stating you are 30 / 60 /90 Days late?
Yes - 30 days late
Yes - 60 days late
Yes - 90 days late
No
Clear selection
Have you received a Letter of Foreclosure Notice from the bank or the Bank's attorney?
Yes
No
Clear selection
If Yes above, what is the recorded sales date on the foreclosure notice stating the property will be sold at court houses steps? (It's normally the first Tuesday of the month)
MM
/
DD
/
YYYY
Terms: You are filling this form out on your behalf and on behalf of the interested parties. You are requesting a no cost, no obligation conversation to receive help on how to deal with your Notice of Default, Notice of Foreclosure or issues pertaining to your home. By voluntarily filling out this form, you give full expressed consent for us to contact you via email or cell phone.
*
YES - I Agree to terms.
CAPTCHA : 2 + 3 =
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
