Contact Us
 If you have any questions regarding our products or services, please contact us by calling 800-508-0242 or e-mailing us at info@yourbankconnection.com and we'll get back to you as soon as possible. We look forward to hearing from you.
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Name:

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Day Phone:

Night Phone:

Cell Phone:

When to Call:


Please tell us your situation:

Financial Hardship
Can't make payments
Desire to keep home
Currently employed
30 Days late
60 Days late
 90 Days late
In or Near Foreclosure
In credit counseling
In bankruptcy
In forebearance
Other

What type is your mortgage?

Mortgage Company:

Payment History:
Mortgage Balance:
($150,000 minimum)
Do you have a Second Mortgage ?

Details about your home:

Year you bought home:

Date of last payment on-time:
mm/dd/yyyy
Do you have a foreclosure sale date ?
Date of foreclosure sale:
mm/dd/yyyy
Would you like refinance your loan ?
Have you agreed to a workout program with your mortgage company ?
Date of the workout program ?
mm/dd/yyyy
Are your taxes current ?
Second Mortgage Company:

Second Mortgage Balance:

Are you behind on Second Mortgage payments ?
How many payments behind ?
Can you afford your monthly payments ?
Is this a long-term issue ?
Would you consider selling your house ?

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