Foreclosure Defense Intake Form

Foreclosure Defense intake form

Please complete the following intake form. An attorney will review your submission. You will be contacted within a reasonable period of time regarding your submission. Please note, review of your submission does not obligate this office to provide you with legal representation or services in any form. This office will not provide you with any legal representation or services unless, and until, a representation agreement is signed by all parties an the applicable retainer is paid.

This is an advertisement of a law office. Attorneys are licensed to practice law in Illinois.

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Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

What is the best telephone number where you can be contacted? *

Have you received notice of a Foreclosure law suit relating to your home? If so, what is the case number? *

What is the next scheduled court date for your case? *

Is the Property your Primary Residence? *

Yes No

Is the residence a single family home? If not, are there more than four units? *

What kind of Mortage Loan do you have? *

What is the principal balance owed on the mortgage loan? *

How many months of payments are you behind or what is the total arrerage on your mortage loan payments? *

Have you tried to modify your mortgage loan? If so, what was the result? *

Are you participating in the Circuit Court of Cook County Foreclosure Mediation Program? If so, briefly describe the status of your mediation. *

Submit