Modification Intake Form | Home Advocates Foundation (HAF)

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Modification Assistance Request

Tell us about your mortgage hardship and servicer communications so we can help you organize, apply for, and navigate available loss-mitigation options.

First name*

Last name*

Birthday*

Month

Day

Year

Email*

Phone Number

Are you the borrower for the subject mortgage? *

Yes

List the First and Last Name of the borrower, and your relationship to said person(s):

If known, provide the name of your mortgage servicer (i.e. the company who demands your monthly mortgage payments): *

Approximately how many monthly payments have you missed?*

Do you have a foreclosure sale date? *

Have you already applied for a modification? *

Yes

If "Yes", please explain the status of said request (i.e. accepted or denied), and any other important information (i.e. approximate date of modification, etc.).

Are you currently employed?*

Yes

If "No", list any other source of income at your disposal:

Are you currently represented by an attorney? *

Yes

If "Yes", please provide your attorneys full name, telephone number, and email address (if available).

Are you presently in bankruptcy? *

Yes

Explain what hardships contributed to your current situation.*

Mailing Address

3111 Route 38, Suite 11-278

Mount Laurel, New Jersey 08054

Tel:

908-356-0709

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Email:

help@homeadvocatesfoundation.org

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