CELL: 208 371-5366 | DIRECT: 208 322-2928 Kemal Busuladzic, REALTOR®


Consultation Request Form

Your information is never shared with anyone else unless you expressly request it.
You can also provide this consultation information by phone by calling
208.322.2928

Name:
Phone:
Email:
   
Property Relationship: Primary Residence Investment Second Residence
Property Address:
City:
State:
Zip:
   
Who is the bank/lender for your first mortgage?
Approximate balance owed on first loan:
2nd Bank/Lender/Servicer - if applicable:
Approx Balance Owed on 2nd Loan:
Other Liens/Loans on Property:
Date Last Mortgage Payment Made:
Do You Have Mortgage Insurance?
Have You Received a Notice of Default?
If so, when?
Have you Received a Foreclosure Sale Date?
If yes, what is date?
   
Have you spoken with your lender about your options?
Have you spoken to an attorney or other professional about your options?
How did you hear about us?
Other Comments/Info: