"3 OPTION PROGRAM" APPLICATION FOR HOME RETENTION ALTENRATIVES AND RE-PURCHASE OPTIONS
 
This is a free, no-obligation service to you, and your information will only be used to send you the requested information and will never be sold to any other party. The more information you provide, the faster we can help solve your problem or purchase goals.
 
PERSONAL INFORMATION
First Name*
Last Name*
Email Address*
Phone Number*
Mobile
Fax
Address
City
State*
Zip Code
Option 1-Stay in your home!
This is our Home Saver Program to allow you to stay in your home after a short sale under the exemption of Dodd-Frank as a leaseback or repurchase.
Yes No
Option 2-Relocate with relocation assistance or CASH!
This option is for those candidates that need relocation assistance or CASH to move on.
Yes No
Option 3-ReStart with a new home!
Short sale your home and REPURCHASE another the next day –OR- start a new chapter as a new buyer; same neighborhood, school district, local community. This is our “ReStart Program” to have a plan.
Yes No
We respect and value your time. Best time to contact: * M-F 8-12
M-F 12-6
M-F After 6
Sat-Sun AM
Sat-Sun PM
Best to contact you via Email or TXT? Yes No
TXT or Cell:
PROPERTY INFORMATION (if your currently own a home now. If not, leave blank)
Property Address if different from main address:
Property City if different from main address:
Property State if different from main State:
Property Zip if different from main Zip:
What is the current condition of your home? 1-Excellent, 5-Poor 1 2 3 4 5
Square Feet:
Lot Size:
Bed and Bath
HOA Amount (Monthly):
Are you behind in any payments? Yes No
What caused you to fall behind?
Is your current property listed? Yes No
What attempts or stall strategies have you tried (select all the apply)? Modification
Short Sale
Transfer of title or portion
Bankruptcy (either 7 or 13)
Legal or Litigation
Stall eviction
Vacated the property
Filed a divorce
State or Fed Sponsored Assistance
Other
Have you received a Notice of Default or Sale? Yes No
When did you receive your NOD or NTS?
Are you in foreclosure? Yes No
What is the home worth?
Total monthly household income: *
FICO Score:
TELL US MORE ABOUT YOUR CURRENT LOANS:
How much do you owe?
1st Loan Lender:
1st Loan #
1st Loan Amount:
2nd Loan Lender:
2nd Loan#
2nd Loan Amount:
Other debt on title:
Other debt to discuss (Credit Card, Taxes, etc.
Option 3 is the "ReStart Program" which will purchase a home on your behalf and give you up to 6 years to refi.
Do you want to purchase another house now? Yes No
If 'Yes' above, then when do you want to purchase? Next 30 days
2-6 Months
6-12 Months
1 Year
2 Year
More than 2 years from now
Amount of Down Payment you expect to contribute or other assistance.
Are you currently in an active bankruptcy? Yes No
Have you ever been evicted from a property as a renter? Yes No
Have you ever been convicted of a violent or sexual crime? Yes No
PLEASE HELP US DO A BETTER JOB
How did you hear about us?*
Referring Counseling Agency
Web Email or other electronic notice
Direct Mail
Referred by Attorney, RE Agent, or other professional
Non-Profit
Seminar or Webinar
Other
If Referred by 'Other' Please fill in this blank:
Referral Code (optional):
PROMO CODE:
Agent or Affiliate submitting application? Yes No
Agent or Affiliate Name:
Agent or Affiliate Email:
Comments
Other comments or circumstances we should know about to help you move forward
The Home Solution, LLC 25422 Trabuco Rd Ste 105 146 Lake Forest, CA 92630 www.TheHomeSolutionLLC.com
 
* Indicates field is required.