PRIVACY
l
LEGAL
Are you 90 days or more behind on your mortgage? Our revolutionary program can help you get caught up today!
Just fill out our simple application below and you'll be on your way!
In order to be eligible for the service your monthly mortgage payment must be $600.00 or more.
1st Mortgage Lender:
*
Mortgage Loan Type:
*
Monthly Payment:
*
select
Conv.
FHA
VA
Months Behind:
*
Foreclosure Date:
(if any)
Sale Date:
(if any)
select
Up to date
1 to 2
3 to 4
5 to 6
7 to 8
9 to 10
11 to 12
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
/
dd
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
yyyy
2003
2004
2005
2006
2007
2008
2009
2010
mm
01
02
03
04
05
06
07
08
09
10
11
12
/
dd
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
yyyy
2003
2004
2005
2006
2007
2008
2009
2010
If sale date is before
1/21/2009
Click Here
2nd Mortgage Lender:
Monthly Payment:
Months Behind:
select
Up to date
1 to 2
3 to 4
5 to 6
7 to 8
9 to 10
11 to 12
First Name:
*
Last Name:
*
Address:
Zip:
*
Day Phone:
*
Night Phone:
(
)
-
(
)
-
Email:
*
Best Time To Call:
select
Before 9:00 am
9:00 am - 12:00 noon
12:00 noon - 3:00 pm
3:00 pm - 6:00 pm
6:00 pm - 8:00 pm
After 8:00 pm
Anytime
If you were given a fresh start, would you be able to make your payments now?
Yes
No
Home Purchase Price:
*
Owed Balance:
*
Tell us why you are in need of foreclosure prevention services:
Do you have over $10,000 in credit card debt?
Yes
No
Total Credit Card Debt:
Name of highest creditor:
Balance:
-- Please select amount --
$10,000 - $20,000
$20,000 - $40,000
$40,000 - $60,000
$60,000 - $80,000
$80,000 - $100,000
Over $100,000
$
Are you interested in improving your credit score and speaking
with a paralegal about disputing negative items on your credit report?
Yes
No
Credit Issue:
-- Please Select --
Credit Score
Inquiries
Report Errors
Collections
Charge-offs
Late Payments
Judgements
Tax Liens
Repossessions
Foreclosure
Bankruptcy
Other
2002-2008 EI - All Rights Reserved