Which applies to you?
Mortgage debt only
Credit card debt only
Both mortgage + credit card debt
I’m here for funding only
What is your approximate remaining mortgage balance?
Under $50,000
$50,000–$150,000
$150,001–$300,000
$300,001–$500,000
Over $500,000
N/A
Are you behind on mortgage payments?
No, current
1–2 months behind
3–5 months behind
6+ months behind
N/A
Has your property been scheduled for foreclosure or auction?
No
Yes, notice received
Yes, sale date scheduled
Already in foreclosure litigation
N/A
What is your goal with the property?
Keep the home
Buy time (rent-free living strategy)
Exit cleanly
Not sure
N/A
What is your approximate total credit card debt?
Under $20,000
$20,001–$59,999
$60,000–$100,000
$100,001–$250,000
Over $250,000
N/A
How many open credit cards do you have?
1–2
3–5
6–9
10+
N/A
Do you have any accounts in collections or charge-offs?
No
Yes, 1-2
Yes, 3+
N/A
Have you been sued or received judgments for credit card debt?
No
Yes, 1 case
Yes, multiple cases
N/A
What is your goal with your credit card debt?
Eliminate debt completely
Restructure / reduce payments
Avoid lawsuits/collections
Not sure
N/A
Which is your bigger financial concern right now?
Mortgage
Credit card debt
Both equally
N/A
Mortgage balance range?
Under $50,000
$50,000–$150,000
$150,001–$300,000
$300,001–$500,000
$300,001–$500,000
N/A
Mortgage status (choose one):
Current on payments
1–2 months behind
3–5 months behind
6+ months behind
Foreclosure process started
N/A
Total credit card debt range?
Under $20,000
$20,001–$59,999
$60,000–$100,000
$100,001–$250,000
Over $250,000
N/A
Any lawsuits, judgments, or collections on your credit cards?
None
Yes, 1 case
Yes, multiple cases
N/A
What is your overall goal?
Eliminate both mortgage and credit card debt
Focus on mortgage only
Focus on credit card only
Not sure / need guidance
N/A
What is your current credit score range?
800+
760–799
720–759
700–719
650–699
Below 650
N/A
Do you have at least 1–2 accounts with $2,500+ limits?
Yes, 1
Yes, 2+
No
N/A
How many hard inquiries in the past 6 months?
0
1-3
4-6
7+
N/A
What is your current credit utilization?
Below 10%
10–29%
30–49%
50–74%
75%+
N/A
How old is your oldest account?
7+ years
5–6 years
3–4 years
1–2 years
Less than 1 year
N/A
What funding amount are you seeking?
$50,000–$100,000
$100,001–$200,000
$200,001–$300,000
Over $300,000
N/A
Full Name
Phone
*
Email
*
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