Free Audit Report Intake Form

FREE ONLINE AUDIT FORM First and Last Name E-Mail Tel What’s the best time to call? Anytime Mornings Afternoons Evenings Property Address City State Alabama  Alaska  Alberta  Arizona  Arkansas  British Columbia  California  Colorado  Connecticut  Delaware  District of Columbia  Florida  Georgia  Hawaii  Idaho  Illinois  Indiana  Iowa  Kansas  Kentucky  Louisiana  Maine  Manitoba  Maryland  Massachusetts  Michigan  Minnesota  Mississippi  Missouri  Montana  Nebraska  Nevada  New Brunswick  New Hampshire  New Jersey  New Mexico  New York  Newfoundland  North Carolina  North Dakota  Northwest Territories  Nova Scotia  Ohio  Oklahoma  Ontario  Oregon  Pennsylvania  Prince Edward Island  Quebec  Rhode Island  Saskatchewan  South Carolina  South Dakota  Tennessee  Texas  Utah  Vermont  Virginia  Washington  West Virginia  Wisconsin  Wyoming  Yukon Territories  Zip Code Do you have an auction date? Yes No Have you ever received a default notice? Yes No What type of loan do you have? 40 year Fixed 30 year Fixed 30 year Fixed Int. Only 25 year Fixed 20 year Fixed 15 Year Fixed 10 year Fixed 10 year Fixed ARM 10 yr Fix Int. Only ARM 7 year Fixed ARM 7 yr Fix Int. Only ARM 5 year Fixed ARM 5 yr Fix Int. Only 3 year Fixed ARM 3 yr Fix Int. Only ARM Other Fixed Other ARM If you refinanced, did you receive a 3-Day Right to Cancel paper at closing? Yes No If you refinanced, did you ever try to cancel your loan? Yes No Is the lender listed on your closing papers the same as the lender you pay today? Yes No What is the lender’s name for the primary mortgage? Did your lender tell you your loan was being sold? Yes No Do you pay your taxes and/or insurance in your monthly payment? Yes No Have you received your annual escrow statement each year? Yes No If you are behind, were you told that you can get written proof of your debt obligation? Yes No Is either borrower receiving disability income? Yes No Did either borrower report disability income on your loan application? Yes No Is either borrower receiving workmen’s compensation income? Yes No Was workmen’s compensation on your loan application? Yes No Do you have more than one mortgage? Yes No If you are behind, please tell us why (Select One Main Reason)? Unemployment Reduced Income Divorce Reduced Income Separation Medical Bills Too Much Debt Death of my Spouse Death of a family member Payment Increase Business Failure Job Relocation Illness Damage to Property Military Service Incarceration Other If you think you have a bad mortgage, please tell us why (Select One Main Reason)? You Were Mislead Talked into High Rate Talked Into an Adjustable Rate Upside Down Bad Repayment Plan Did Not Know You Could Cancel Tried To Cancel but No Response You Could Never Afford the Mortgage Didn’t Know about Having to Pay Taxes Didn’t Know about Having to Pay Insurance Payments Went Up Too Much Your Estimate Wasn’t Close To Final Amount You Have A Balloon Payment Your Principal Balance Keeps Increasing Never Got A Copy of Your Appraisal Feel You Were Take Advantaged Of Other Did you refinance your loan less than 3 years ago? Yes No Did you receive your credit score results in writing? Yes No Were you turned down for a loan modification by your existing lender? Yes No