CONTACT OUR LAW FIRM

Please fill out the following form to contact us via the Internet You may also call us directly at (888) 845-1888
First Name:	*
Last Name:	*
Email Address:	*
Primary Phone:	- - *
Alternate Phone:	- -
Mailing Address
Street Address:
City:
State:
Zip:
Property Address
Street Address:
City:
State:	(location of property)
Zip:
Type of Property:

Current Value:	(Example: 200000)
Purchase Price:	(Example: 200000)
Total Mortgage Balance:	(Approx. Value of Existing 1st & 2nd)
Name of Lender:
Current Interest Rate:
Fixed or Adjustable?
Monthly Payment:	(Current monthy payment)
Behind on Payments?	Yes No
Rate Payment History?
Property Yearly Income:
Best Time to Call:
Personal Guarantee:	Yes No Don't Know
Decribe the property and your situation?	(Example: Maturity default; 2 payments missed; Several tenants have vacated; etc.)