Detail Intake Form

To assist us in providing you with the most effective and efficient evaluation, please complete the  intake form as thoroughly as possible.  A counselor will review your information and will contact you shortly to discuss your options.

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Alternatives to Foreclosure Detailed Intake Form

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CO-BORROWER INFORMATION
EMPLOYMENT
PROPERTY INFORMATION
EXPLANATION OF FINANCIAL HARDSHIP
FINANCIAL STATEMENT
SUMMARY
*IMPORTANT NOTICE: BY SENDING THIS INFORMATION, I/WE CERTIFY THAT THE INFORMATION AND DOCUMENTATION PROVIDED IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE. IN THE EVENT A THIRD PARTY IS DESIGNATED TO ASSIST ON MY/OUR BEHALF, I/WE WILL INCLUDE WRITTEN AUTHORIZATION TO THE DESIGNEE TO ASSIST ON MY/OUR BEHALF. I/WE ACKNOWLEDGE THAT R.E.S.C.U.E. IS ONLY ACTING A S NON-PROFIT AGENCY, PROVIDING GENERAL ANSWERS TO GENERAL QUESTIONS AND IS NOT INTENDED AS A SUBSTITUTE FOR INDIVIDUAL LEGAL ADVICE. ADVICE IN SPECIFIC SITUATIONS MAY DIFFER DEPENDING UPON A WIDE VARIETY OF FACTORS.
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