Please give us some information about you and your mortgage loan. The information you give us is considered confidential. Please complete EVERY question! A HomeFree-USA staff member will contact you within 1 business day. For immediate help, please call 1(866) 696.2329.
Be sure to add homefreeusa.org to your safe email list.
Your name:
What is your date of birth?
What is your gender?
What is your race?
Are you Hispanic or Latino?
What is your social security number (SSN)?
Your address:
Your city:
Your zipcode:
Is this the property address?
If no, what is the property address?
The best phone number to reach you:
Which phone number is this?
Your email address (required)
Is there a co-borrower?
If yes, please provide co-borrower's name and social security number...
Co-borrower's address, if different (street, city, state, zip)
How did you hear about us?
What is your household type?
What is your household size (number of people)?
If other, please specify...
What is the name of your Lender or Servicer?
What is your loan number?
What year did you purchase your home?
Are you late on your mortgage payments?
If yes, how late?
Have you received a notice of intent to foreclose?
How much is your monthly mortgage payment?
What is the interest rate on your mortgage?
Is your mortgage an Adjustable Rate Mortgage (ARM)?
If yes, has your interest rate reset?
Do you have a second mortgage?
What caused you to be late on your mortgage payment?
What is the net MONTHLY income for your household?
What are the total MONTHLY expenses for your household?
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