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Homeowners

HELP ME! I need foreclosure assistance FAST! The absolute best way for us to assist you is by completing this form. Fill it out as completely as possible and one of our Loss Mitigation Specialists will contact you to discuss your options.
FORECLOSURE ASSISTANCE FAST RESPONSE FORM

STRICTLY CONFIDENTIAL
Items marked with an asterisk(*) are required. Please provide some type of answer even if you are unsure if it is the correct one. It is acceptable to write "not sure" or "I don't know". Please contact support if you have any questions about this form.

Referred By: Please take a second and share where you heard about us
The Person or Company that Referred You
 
Referer's Full name: Referer's Phone:
How did you hear about us?*  
 
   
 
Homeowner Information
 
Full name: Email:
* *
What is your marital status? Spouse name:
*
Best TWO contact numbers?  
Phone #1: Type
* *
Phone #2: Type
* *
Best TIME to call you?  
*  
   
 
Property Information
 
Property Address : City:
* *
State: Zip:
* *
What County? Is the property your:
What do you think your house is worth? Source of value:
Who is living in the house? Are you the owner of the record?
   
 
Your Situation
 
Do you wish to : What solutions have you tried to work out with your lender?
* *
Have you been served legal papers? Do you know the sheriff sale date?
*
If yes, when is it? Are you behind on payments?
Briefly describe how you got behind or are unable to make your mortgage payments.
*
   
 
 
 
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Foreclosure Relief Specialist is a member of JP Acquisitions, LLC. All information submitted is held in privacy and kept confidential.
JP ACQUISITIONS, LLC, PO BOX 260199, PLANO, TX 75026
866-921-6669 DIRECT   |    866-669-6569 FAX