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Foreclosure Questionnaire

Multi-line address
How far behind are you on payments?
1 - 3 Months
3 - 6 Months
6 - 12 Months
Over 12 Months
Has foreclosure already started?
Yes
No
Not Sure
Would you like to keep your home?
Yes
No

4500 E. Jewell Ave.

Suite 213

Denver, CO 80222

Jeffrey@2ndChancePrograms.com

Tel: 720-999-1147

Fax: 210-817-3790

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