COMPLETE THIS RESPONSE FORM IN ORDER TO HELP US WITH YOUR CURRENT OPTIONS!
If you prefer to provide this information over the phone, please call our offices at 336-852-1532.
We primarily deal with homeowners in Guilford County!

Your Contact Information

Full name

How did you hear about us?   Please Select Ad in Newspaper Mailing Postcard Referral Website Sign in Yard Brochure Other

Home Phone Number

Work Phone Number

Mobile Phone Number

E-mail

Property Address  Enter the property in question here

Is your mailing address the same as your property address?  Yes  No

Mailing Address  Enter your mailing address here

Your Property Information

Do you have anyone currently assisting you with your pending foreclosure?   Please Select Yes No

Your property is currently   Select Option Owner Occupied Renter Occupied Vacant

No. of Bedrooms    No. of Bathrooms

What is the Current Condition of the Property?   Select Option Excellent Very Good Fair Poor Needs Extensive Repairs

Please use the space below to tell us additional information about your home.

Additional Information

When is your hearing date scheduled?    Your sale date?

How many mortgage loans and/or liens do you have on the property?   Please Select 1 2 3 4+ None

What is the balance of the first mortgage?

What is the combined balance of all other mortgages and/or liens?

How far behind are your payments?   Please Select 1 month 2 months 3 months 4+ months

Please select what your greatest priority is at this current time?   Please Select Stay in Home Prevent Foreclosure Get Some Money Other

Please use the space below to give us a brief explanation of the reason(s) that have led to your foreclosure situation. This information is confidential and will only be used to help us in evaluating the various options that we can offer you.