Name *

First Name

Last Name

Do you want to keep it?

Yes

No

Not Sure

Are you current in your payment on the 1st mortage?

Yes

No

Not Sure

Is the insurance included in the payment?

Yes

No

Not Sure

Are real estate taxes included in the payment?

Yes

No

Not Sure

Are you current in your payment on the 2nd?

Yes

No

Not Sure

Is the property subject to a foreclosure proceeding?

Yes

No

Not Sure