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Zip Code

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Great! Trustee sale assigned?

Yes

No

Unsure

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Have you attempted a loan modification?

Yes

No

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Do you wish to stay in your home?

Yes

No

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Do you owe more than your home is worth?

Yes

No

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Do you have more than one lien?

Yes

No

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Who is the first lien holder?

Bank of America

Wells Fargo

Chase

Other

your answer

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Who is the second lien holder?

Bank of America

Wells Fargo

Chase

Other

your answer

None

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Have you filed for bankruptcy?

Yes

No

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Has a bank approved you for a short sale?

Yes

No

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What is your full name?

Enter first and last name

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What is your email address?

name@email.com

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What is your phone number?

(xxx) xxx-xxxx

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