Avoid Repossession

Here's How To Proceed:

1. Fill out an online application - to your best ability

2. We'll review your information and determine if your case has good chances of being approved for a repayment plan by your lender.

3. Our representatives will respond within 48 hours (excluding weekends) with a "go ahead" or "sorry we can't help".

4. If your case has merits, our representative will help you fill out a complete package of information necessary for us to work with your lender.

5. From that point on, we'll do everything else neccessary to negotiate a repayment agreement with your lender and bring your loan up-to-date.

End Result -- Your Home Is Saved!


* indicates required fields.
First Name:	*
Middle Name:
Last Name:	*
Spouse Name: (First/M/Last)
Address	*
City/Postcode:	*
Phone Number:	- - *
Email Address:	*
Property address:	*
Employer:	*
Years in current job:
Work phone:
Part time employer:
Years in part time job:
Spouse Employer
Spouse's years in job:
Work phone:
Spouse's part time employer:
Spouse's years in part time job:
Dependent ages:
First mortgage lender:	*
Mortgage loan type:	*
Mortgage loan number:	*
Months behind:	*
Second mortgage lender:
Months behind:
Purchase price:	*
Owed/balance:	*
Market value:
Assets est. Value amount owned:	*
Repossession Solicitor:
Reason:
Notes/comments:
REPOSSESSION DATE
Have you made any previous arrangements with your lender to settle the arrears? * Yes No
(1) Debtor's Monthly Take Home Pay	*
(2) Spouse's Monthly Take Home Pay
(3) Other Monthly Income (Child Support, Social Security, Disability Income, etc.)
Estimated Average Future Monthly Income:
(a) Rent or Home Mortgage Payment	*
Second Rent or Home Mortgage Payment
(b) Electricity Bill
(c) Heating Bill
(d) Water/Sanitation Bill
(e) Telephone Bill
(f) Newspapers, Periodicals, Books, etc.
(g) Medical and Drug Expenses
(h) Auto Insurance
(i) Other Insurance
(j) Cable Television
(k) Transportation
(l) Taxes (not deducted from wages)
(m) Alimony, Maintenance, or Support
(n) Child Care, College or Private School Tuition
(o) Clothing
(p) Laundry & Cleaning
(q) Religious and/or Charity
(r) Automobile Payments
(s) Miscellaneous Creditors Total of Monthly Payments
(t) Food
(u) Other

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