short sale info, short sale homes, short sale guy columbus ohio, short sale foreclosure info, michigan short sale help, how to avoid home foreclosure, how to avoid foreclosure mortgage loan, how to avoid a foreclosure, help with behind on mortgage

Submission Form

(This form is submitted through a Secure Server - "https")

Personal Information

Owner's/Co-Owner's Name(s):
Your Mailing Address:
City, State, Zip
E-mail: ( 1 only)
Home/Work/Cel Nos:
Best Way To Contact is via:
Were you referred to us? If so, by whom:

Property Information

Address
City, State, Zip

Is the home listed by a Realtor? Yes No

If yes, Realtor's Name / Phone

Information About Existing Loans

1st mortgage balance $
Lender
Loan Number
2nd Mortgage Balance $
Lender
Loan Number
Purchase Price $

Comments & other information, if applicable:

General Information:

Do you live there? Yes No

If no, is it rented? Yes No

Has the Lender(s) started foreclosure? Yes No

Is there a Homeowner's Association? Yes No

For your convenience, we can send your documents as an Email attachment in Adobe Acrobat (PDF).

Please indicate if you want them sent to you in hard copy by FEDEX or as an attachment to Email.

FEDEX

Email Documents

I authorize Wilshire Holding Group, Inc. to charge my credit card the amount of $100.00 to cover cost of document preparation. I understand that this is a non refundable charge but will be applied toward my total fee of One Percent (1%) of my current loan(s) amount with a minimum fee $1,000 and a maximum fee of $4,000.

Credit card Information Please provide this information
Name on Credit Card -
Type of Credit Card (please select)
Credit Card Number
Expiration Date - Month Year
3-Digit Security Code on back of card