American Foreclosure Prevention Inc

We will stop your foreclosure,
Or You pay Nothing!

(888) WE-HELP-U
(888) 934-3578

Our Professional Foreclosure Prevention Staff will work with your lender on your behalf to stop your home foreclosure and secure a repayment plan that is affordable for you.

Please fill out this Information Request Form to receive a FREE consultation with one of our Loss Mitigation Counselors.

Home Owner Information

Home owner Name
Co-Homeowner Name None
E-mail

Property Information

Street Address
City
County Don't Know
State
Zip Code

Contact Information

Please Enter Numbers Only
Home Phone None
Cell Phone None
Work Phone* None
Yes No * May we call you at work?

Please answer the following questions:

First Mortgage Section

Monthly mortgage payment?
How many months are you behind in your payments?
Select Loan Type
Lenders Name

Second Mortgage Section

Yes No Do you have a second mortgage / HELOC?

Foreclosure Commencement Section

Yes No Has your lender started foreclosure proceedings?

Yes No Have you ever filed for bankruptcy?

How did you hear about American Foreclosure Prevention, Inc.?

Your Comments:

Any and all information collected by this agency and its partners will be kept personal and confidential. This information will be used exclusively by this agency and only for the purposes of foreclosure prevention, credit counseling and financial education. This information will not be sold, transferred, or released to any individual or business entity for any purpose other than the ones stated herein.