FLORIDA FINANCIAL SERVICES

OUR MISSION: To Help as many Homeowners as possible by Saving Homes from Foreclosure in Florida.

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FLStopForeclosureNow.com Foreclosure, Debt Management, Credit Repair, Credit Report Advice and Help in

First Name:

Last Name:

Address:

City:

State

Zip:

Home Phone:

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Work Phone:

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Cell Phone:

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Best # to reach you in the next 15 min:

Email:

Lender:

Months Behind:

Estimated Loan Amount:
(1st Mortgage)

Estimated Loan Amount:
(2nd Mortgage)

Monthly Payment:

Provided we resolved your past due balances, do you have enough household income to afford your mortgage payments going forward?

Do you have a foreclosure date?

If so, what is the foreclosure date
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Are you currently in bankruptcy?
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Are you currently employed?
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* Due to California State law, we may be unable to assist homeowners in California that have received a "Notice of Default"