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Foreclosure Questionnaire

Account Executive / Loan officer

First name

Last name

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Is this property owner-occupied or an investment property?

Who is your lender?

Approximate loan balance owed ($)

What do you believe your property is worth today ($)

How far behind are you on payments?

1 - 3 Months

3 - 6 Months

6 - 12 Months

Over 12 Months

Monthly mortgage payment ($)

Monthly Property taxes ($)

Monthly Insurance ($)

Has foreclosure already started?

Yes

No

Not Sure

Would you like to keep your home?

Yes

No

What is the reason you got behind and why are you currently in foreclosure?

225 Union Blvd #150, Lakewood Colorado 80228

Jeffrey@2ndChancePrograms.com

Tel: 720-498-2736

Fax: 210-817-3790

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