Law Offices of Stephen E. Rasmussen, PC

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Foreclosure Analysis

Please complete the "Foreclosure Analysis" form below if you are facing foreclosure or anticipate an inability to pay your mortgage in the near future. The information you submit will be reviewed by the Law Offices of Stephen E. Rasmussen, PC to determine what options are available to avoid foreclosure on your property. We understand this information is of a personal nature. It will be held in strict confidence and not disclosed to any other parties without your consent except as limited by the "Terms of Use and Service."

Please fill in as many spaces as possible. Estimates and approximations may be used. If a particular question is inapplicable, please so indicate. If a lack of access to information prevents you from completing all of the spaces below, or if you are unsure of a question, we are happy to receive whatever information you can provide at this time. However, please keep in mind that leaving out information or providing inaccurate information may delay a resolution of your matter.

Once you submit this form, we will review your individual situation and provide you free advice with no obligation to ensure you make the right decision. Completion of this form is not a prerequisite to contacting us. If you are not ready to complete this form and you just have some questions, please do not hesitate to "Contact Us."

Foreclosure Analysis

This form is transmitted to us from an SSL encrypted secure web page. Do not submit this form unless you see either a "padlock" in the browser or “https” in the address box at the top of this page. When completing this form, use the TAB key to advance to the next field. Do not hit the ENTER key as that will submit the form.

Personal Information
Your First Name:
Your Last Name:
Spouse's First Name:
Spouse's Last Name:
Mailing Address:
Mailing Address:
City:
State:
Zip Code:
Contact Information
Daytime Phone:
Evening Phone:
Cell Phone:
Fax Phone:
Email:
Subject Property Information
	Please provide us the following information on the subject property threatened by foreclosure:
Property Address:
Property Address:
City:
State:
Zip Code:
Indicate the ownership type of the subject property:
Indicate the property type of the subject property:
When did you purchase the subject property?
What was the sale price of the subject property?
How much did you put down when you purchased the subject property?
Did all the money borrowed against the subject property go towards purchasing the property? If not, provide details:
What year was the subject property built?
Square Footage:
Lot Size:
Number of Bedrooms:
Number of Bathrooms:
Do you have a garage? If so, indicate size (e.g., 1, 2, 3 car):
If you have a garage, is it attached?
Do you have a basement? If so, is it finished or unfinished?
Do you have an in-ground pool or spa?
Do you have a fireplace?
List any other amenities of the subject property:
Roof Type:
How old is the roof?
Please describe the general condition of the interior and exterior of the subject property:
Please describe any repairs needed for the interior and exterior of the subject property:
Please describe the general condition of the landscape and hardscape of the subject property:
Please describe any repairs needed for the landscape and hardscape of the subject property:
Is there a Homeowners' Association (HOA) for the subject property?
Name of the HOA:
Phone Number of the HOA:
Monthly Payment:
Back Payments Due:
Loan Information
1st Mortgage Company:
Phone Number:
Loan Number:
Principal Balance:
Monthly Payment:
Back Payments Due:
2nd Mortgage Company:
Phone Number:
Loan Number:
Principal Balance:
Monthly Payment:
Back Payments Due:
3rd Mortgage Company:
Phone Number:
Loan Number:
Principal Balance:
Monthly Payment:
Back Payments Due:
Were any of the above loan(s) refinanced? If so, state which ones:
If you're current on the above loan(s), how much longer are you able to stay current?
If you're not current, have you received a Notice of Default for any of the above loan(s)? If so, indicate which loan(s) and notice date:
If you received a Notice of Default, have you contacted the lender(s)?
Did the lender(s) contact you?
Has any attorney contacted you regarding the subject property?
Do you have an auction date for the subject property? If so, when?
What do you think the subject property is currently worth?
How did you come up with your estimated value?
Do you have a recent appraisal? If so, what was the appraised value?:
Do you have a realtor?
Have you listed the subject property for sale? If so, when?
What is your list price?
Why do you think it hasn't sold?
Have you ever rented out the subject property since owning it? If so, list the period(s) of time you occupied the property during ownership?
Goals for the Property (Do you plan to stay or move?)
	If you plan to STAY, are your goals to:
Get the loan(s) current?
Refinance the loan(s)?
Other goals?
	If you plan to MOVE, are your goals to:
Sell the home as soon as possible?
Avoid or minimize deficiency judgment(s) on the loan(s)?
Avoid or minimize debt relief income tax on the loan(s)?
Avoid or minimize the impact to my credit history?
Other goals?
Other Information
Have you or your spouse filed for bankruptcy in the last 8 years? If so, when?
Do you or your spouse currently earn income? If so, provide your monthly gross income:
Please list any assets other than the subject property you may have including their value:
Please list any liens against the subject property or against you personally including type (e.g., tax liens, mechanics liens, etc.) and amount:
What is your timeframe for resolving this matter?
Indicate the "Newsletter" coding on the bottom right corner of your letter if you received correspondence from us (e.g., N0801011):
Comments:
Review the instructions to the right:	Check this box to acknowledge the disclaimer below. Otherwise, we cannot review your form.
	I UNDERSTAND THAT I HAVE NOT YET ENTERED INTO AN ATTORNEY-CLIENT RELATIONSHIP WITH THE LAW OFFICES OF STEPHEN E. RASMUSSEN, PC AND THAT MY SUBMISSION OF THIS FORECLOSURE ANALYSIS FORM AND THEIR RECEIPT OF THE SAME WILL NOT CREATE AN ATTORNEY-CLIENT RELATIONSHIP. SUCH A RELATIONSHIP WILL ONLY BE ESTABLISHED IF THE LAW OFFICES OF STEPHEN E. RASMUSSEN, PC PROVIDES ME AN ENGAGEMENT LETTER WHICH I SIGN AND RETURN.