LMR Data Form
Please select the loan
advocate or referral source
- Select / New -
Aba Williams
Adan Hernandez
Adrienne Williams
Albert Brown
Aleta Chapman
Alex Jones
Allison Bradley
Anthony Morris
Aris Reilly
Arlene
ARTHUR E FERNANDEZ
Athena Jackson
Betty Smith
Bibi Khan
Bob Rux
Brian Denker-Youngs
Calvin Crayton
Calvin Crayton
Cameron Santa Cruz
Carol Werelius
Cecelia King
CHERYL FLETCHER
Chiquita Simpkins
Clay Milam
Damien Byrd
Darwin Long
dave bochenek
Dave Roberts
David Gelinas
David Lewis
David Moore
David Nibarger
Del Olivarez
Dewayne Carter
Donald Carroll
Dr. Jan'e Colahar
Dutch Maynard
Earl Combs
Edgar Teague II
Eduardo Tarango
Edward Schuffman
Elite Solutions, PMA
Eric Sayward
Ericka Key
Evan Inslee
Faith Brashear
Foreclosure Fre
Francisca Reyes
Frank Waldo
Fraud Stoppers PMA
G Mickerson
Gene Warner
George Medina
H&G
Heath
Henry Yisra-El
Inclusive Consulting Serv
j'curtiss White
James Gibson-Bey
James Jones
James Miller
Javier Cruz
Javier Cruz
Jeremy Williams
jesse martinez
JOE
John Fillion
John Glavin
Joie Polimeda
Jonathan Hedtke
Joseph Phillips
Joseph Varan
Joyce Walker
Kabeer Kazi
Karane Brooks
Kathy Torrenga
Kenneth Singleton
Kevin Thys
Kristen Konduct
Lance Cassino
Lena Davis
Leslie Starks
LOUIS SMITH
LSG Network
Lynn Mong
Lynn Sousa
Lynn Sousa
Marcus Marchman
Marcus Ward
Margaret Brown
Mario Menendez
mark flanagan
Mark Yorden
Mark_Emery Boswell
MARVIN DOUGLAS
Michael Brown
Michael MD
Michael walker Walker
Michelle Lorraine
Mike Cammarano
Mike Nicholson
na
NAIM MUHAMMAD
Neal Smith
Nepoleon Melendez
Nick
ninan samuel
OVALENTINE JOHNSON
Patricia Aiken
Patricia Stevens
Peter John
Prince
qvs
Randy Kelton
RAUL
RAYMOND Smith
Reba Jo Henrion
Reinard Smith
Rhemington Steele
Rick MacLean
Rio Ramirez
Roberta Fitzhugh
Rodney Pete
ronald kroonstuivet
Roy harris
Rule of Law Rad
Sam Palladino
Shane Kailimai
SHELTON ARTIS
Stacy Slaughter
Steve McElheny
Sunshine Stanford
Susan Marie Van Suchtelen
Teena Colebrook
terry lee
Thomas Fox
Timothy Harp
Tyrone Senior
USEI PMA
Vanessa Bartley
Victor Lewis
Winston Wallace
Wrongful Foreclosure
Yolanda Lewis
Yuriy Mankovskiy
Zalee Harris
Zamick Milhouse
or
Basic Info
Homeowner First Name
Homeowner Last Name
Co-owner First Name
Co-owner Last Name
File Type
Loan Mod/Foreclosure Defense
Short Sale
Which services are requested?
Bankruptcy Ch 11
Bankruptcy
Bankruptcy Ch 7
Bankruptcy Ch 13
CFPB Compliant
Deed in Lieu
Forensic Audit
Foreclosure Defense
HOME Report
Loan Modification
PMA Membership
Refi
Securitized Audit
Sale Date Postponement
Commercial
Deed in Lieu
HAFA Short Sale
Short Sale
How did you hear about us?
- Select -
Banner Ad
Direct Mail
Google Ad
Google Search
Referral from Friend
Trade Publication
Trade Show
Phone number
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Ext #
Please Wait...
Cell number
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Email
Please Wait...
Property Info
Property Address
Property City
Property State
- Select -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
County
- Select -
Property Zip
Property Type
- Select -
Single Family Home
Duplex
3 Units
4 Units
Apartment Complexes
Auto Repair
Condo
Condo Low Rise
Condo High Rise
Condotel
Construction
Co-Op
Developed Land
Daycare
Funeral Homes
Garage/Storage
Hotel
Light Industrial
Lot/Land
Loft
Manufactured
Mixed Use
Motel
Mobile Home Park
Multi Family
Multi-family-2
multi-family-3
multi-family 4
multi-family-5+
Medical Office
New Residential Development
Owner Occupied Business
Office Building
PUD
Retail
Restaurant/Bar
Resorts
Special Purpose Properties
SBA/Working Capital
Self-Storage
Strip Mall
Recreational Properties
Tavern
TownHouse
Warehouse
SRO
Other
What is the current estimated value of your home?
Get Zillow Value
How many years have you lived in the property?
Do you want to stay in this home?
Hardships
Housing Payment Increase
Death of a significant other
Death of a family member
Damage to Property
Divorce
Separation
Military Service
Business Failure
Reduced Income
Illness
Medical Bills
Job Relocation
Unemployment
Incarceration
Too Much Debt
Other (Please Specify)
Negative Equity
Disaster
Low Cash Reserves
Mortgage Info
Who is your 1st mortgage lender?
What is the estimated balance for the 1st mortgage?
What was the original amount of the 1st mortgage?
What is the payment of the 1st mortgage?
What is your monthly property tax payment?
What is your monthly property insurance payment?
Is there a 2nd lender?
Who is your 2nd mortgage lender?
What is the estimated balance for the 2nd mortgage?
What was the original amount of the 2nd mortgage?
What is the payment of the 2nd mortgage?
Is the mortgage currently behind?
How many months behind?
- Select -
0
Imminent Default
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36+
Have you received a notice of foreclosure?
Enter Sales Date if provided
by bank/attorney/trustee
Have you already received or tried to receive
a modification/ forbearance/work out from your bank?
if yes... Please provide all details
Mortgage Notes
