Assistance Request Form

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Assistance Request Form

Thank you for reaching out to
US Foreclosure Assistance. To better understand your situation and how we can help, please complete the following assistance request form. Your information will enable us to prepare for our initial discussion and offer more personalized assistance.
US Foreclosure Assistance

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Name *

First

Last

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Why are you foreclosing? *

Mortgage
Taxes
HOA
Third-party Lien/ Judgement

Monthly Mortgage Payment *

Are you currently living in the home?* *

Yes
No

How far behind are you on your mortgage? *

4-6 Months
6-12 Months
Other

Have you received any foreclosure notices? *

Yes
No

Do you have an Auction sale date? *

Yes
No

If Yes, Please provide the Auction date:

Briefly describe your current situation and any specific concerns you have:

How did you hear about us? *

Best Time to Contact: *

Morning (9 AM - 12 PM)
Afternoon (12 PM - 5 PM)
Evening (5 PM - 8 PM)

Consent Checkbox: *

I understand that the information provided will be used by US Foreclosure Assistance to evaluate my situation and that my personal information will be kept confidential.

By submitting this form, you consent to receive text messages from US Foreclosure Assistance. Reply STOP to opt out.

Why Reach Out?

Free, No-Obligation Options Meeting: We offer a confidential, no-cost meeting to help you understand your options before you make any decisions.
Expert Guidance:Our team has years of experience in foreclosure prevention and financial solutions specific to Georgia homeowners.
Personalized Approach:Every situation is different. We tailor our solutions to your specific needs to ensure the best possible outcome.

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