The faster you get started with us - or with someone else, the better off you will be, the higher chance you will have to keep your home! Fill out this form or call us 805-288-6242

Please take a few minutes and provide us with some information about your current situation and future plans. This will help us be better-prepared when we get back in touch with you to review your information. Thanks again for checking with us!

Yes, I Want To Keep My House! Stop or Postpone my Foreclosure!

Your Name
Your Email Address
Main Contact Phone
Best Time to Reach You
Type of Property	Single Family Condo Townhome Duplex Triplex Fourplex 5 Units or more 50 Units or more
Property Address
Property City, State, Zip
Do you live in the property?	Yes, I live in the property No, I have already relocated
Is the property listed?	No, the property is not listed Yes, the property is listed
First Mortgage Lender
First Mortgage Balance
First Mortgage Payment
Month Last Pmt Made on 1st
2nd Mortgage Lender
2nd Mortgage Balance
2nd Mortgage Payment
Month Last Pmt Made on 2nd
Are there other liens?	No, there are not other liens Yes, there are other liens
Rec'd Notice of Default?	No, I have not received a NOD Yes, I have received a NOD
Rec'd Notice of Trustee's Sale?	No, I have not received a NOTS Yes, I have received a NOTS
Pending Sale Date
Main Reason you are in default	Loan payment/s increased Loss of job Loss of income Death in the family Overencumbered with debt Divorce Medical Reasons Other
Employment Status Now	Currently employed Currently on Workers Compensation Currently on Unemployment Other
House Payment Outlook	I can make payment plans within 30 days I can make payment plans within 90 days I cannot a make repayment plan
Bankruptcy as an option	I do not want to file for Bankruptcy I am open to filing for Bankruptcy
Housing Goals	I want to keep the house I do not want to keep the house I am not sure
How did you hear about us	Postcard Letter Google Newspaper Ad Radio Ad Other
Additional Comments
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