Need Help?
1-888-353-1719
Ask an expert call now!
 
 
Foreclosure Form
 
Personal Information
 
First Name:
Last Name:
Email Address:
Address:
City:
State:
Zip Code:
Primary Number:
Secondary Number:
Employer
Position
Location
How long there?
Spouse Information
First Name*
Last Name*
Middle Initial
Employer
Position
Location
How long there?
 
Residence Information
1st Mortgage:* 2nd Mortgage:*
How many months behind are you? How many months behind are you?
Monthly Payment Monthly Payment
Balance Balance
Original Amount Original Amount
Present Market Value Present Market Value
 
Secured Loans
Creditor: Balance: Mo. Pmt Last Paid:
Creditor: Balance: Mo. Pmt Last Paid:
Creditor: Balance: Mo. Pmt Last Paid:
Creditor: Balance: Mo. Pmt Last Paid:
 
Unsecured Loans (i.e. credit cards)
Creditor: Balance: Mo. Pmt Last Paid:
Creditor: Balance: Mo. Pmt Last Paid:
Creditor: Balance: Mo. Pmt Last Paid:
Creditor: Balance: Mo. Pmt Last Paid:
Creditor: Balance: Mo. Pmt Last Paid:
Creditor: Balance: Mo. Pmt Last Paid:
Creditor: Balance: Mo. Pmt Last Paid:
Amount Requested  
 
Monthly Expenses
Mortgage Payment's Property Tax*
Groceries* Electric Bill
Water Bill TV (cable, sat, etc)
Medical Insurance Child Support
Gasoline Clothing
Day Care Miscellaneous
Periodic expenses Other
Life Insurance. Auto Insurance
 
Monthly Income
Husband Other
Wife Other
 
Questionnaire (Please check all events that contributed to your falling behind.)
Temporary Layoff Job Loss
Reduction in Hours Too many other bills
Illness/Injury Divorce/Separation
Expensive Repairs Any other
Please briefly describe the events that caused you to fall behind on your mortgage.
Have you ever declared bankruptcy? If so, was it completed?
  Yes   No   Yes   No
Date of discharge?    
How much does the mortgage company say is due to get mortgage current?
How much money do you have available to go towards the mortgage right now?
If the mortgage company required you to make a house payment, how long would it take for you to have one available?
If we help you get caught up, do you promise to pay your mortgage  as your highest priority? Yes   No
I hereby attest that all items are accurate and true. I authorize the release of all information contained on this web page to RemoveMyBills.com
  We want to give you the best possible results.
Please be sure to fill in all the fields marked with an asterisk.*

Your privacy is our priority. RemoveMYbills.com does not rent, sell, or share personal information about you with other people or non affiliated companies. You will be contacted with a free, no-obligation consultation by local dealers who are part of our network and are competing to earn your business.

 
Help us serve you better, report error in our web server pages Click here!
 
Autos | Real Estate | Insurance | Finance | Bill Buster | Foreclosure | Sitemap
 
Company Information | Privacy Policy | Jobs | Contact Us | Real Estate Agents & Service Providers
Copyright © 2006, RemoveMYbills.com LLC All Rights Reserved
 
 
This site is best viewed at a resolution of 1280 X 1024 with