Foreclosure Assistance Form

We’re here to help you explore all of your options and find a solution that works for you, completely free of charge and at your convenience. Please fill out the form below to help us determine all options that may be available to you. Please note that all information provided will be kept confidential and used solely for the purpose of assisting you with your foreclosure situation. We do not share your information with third parties without your consent.

By submitting this form, you consent to Brooke Buying Houses, LLC contacting you to discuss your situation and offer possible solutions.

Legal Disclosure: I am not an attorney and cannot provide legal advice. Please consult with a qualified professional for any legal matters.

Contact Information

1. Full Name *

2. Phone *

3. Email *

Property Information

4. Preferred Contact Method *

Phone

Text

5. Best Time to Contact You *

Morning

Afternoon

Evening

6. Property Address, City, State and Zip Code *

Loan Information

8. Lenders Name and Contact Number *

9. Loan Type *

Conventional

FHA

Other

10. All Members Named on Loan *

11. Original Loan Amount *

12. Interest Rate? Fixed or Adjustable? *

13. Remaining Balance of Loan (estimate if exact amount is unknown) *

14. Reinstatement amount (defaulted amount plus fees incurred) *

15. Amount of Current Monthly Payment *

Foreclosure Details

18. How many loan payments have you missed up to today? *

19. Have you received a foreclosure notice? *

Yes

20. Are you working with an attorney? *

Yes

21. What are you hoping to achieve? *

Stop the foreclosure.

Explore Options

Sell the property

22. What hardships have you experienced financially or otherwise, that prevented you from making your monthly payments? *

Financial Ability

This information is not used to determine eligibility for assistance with your lender or any other outside resources. We simply use this information to evaluate your financial ability in order to determine which options are viable solutions for your unique situation.

23. If you are approved for assistance that requires you to resume your monthly payments, are you currently financially able to make steady monthly payments without difficulty? *

Yes

Unsure

24. If you are approved for assistance that increases your payment, are you currently financially able to make a higher monthly payment without difficulty? *

Yes

Unsure

25. What is your current monthly income? *

26. What are your total monthly household expenses (including rent/mortgage, utilities, groceries, etc.)? *

27. Do you have any additional sources of income (e.g., side jobs, government benefits, family support)? *

28. Are you currently employed? *

Yes

Self-Employed

29. Do you have any savings to help cover missed payments or emergencies? *

30. What is your total debt (credit cards, loans, medical bills, etc.)? *

31. Are you currently paying off any large debts (auto loans, student loans, medical debt)? *

32. Have you had any recent unexpected events that required significant monetary resources (e.g., medical emergencies, vehicle repairs, family emergencies)? *

33. Do you foresee any upcoming expenses that could impact your ability to make regular payments (e.g., medical treatments, large repairs, legal fees)? *

Yes

Other

34. Do you have insurance coverage for major expenses (e.g., health, auto, home repairs)? *

Yes

35. If a major expense arose (like a $5,000 medical bill or vehicle breakdown), would you still be able to afford your monthly mortgage payment? *

Yes

Unsure

36. Have you ever filed for bankruptcy? *

Yes

37. Have you considered filing chapter 13 bankruptcy to stop foreclosure on your home? *

Yes

Unsure

38. What other challenges, if any, are preventing you from staying current with your mortgage? (Please describe your situation briefly or add any important details.) *

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