Loan Mitigation Services

File Start Form

Listing Agent Information

Company / Brokerage Name *

Full Name *

Phone Number *

Email *

Co-Listing Agent?

If you would like them copied on notifications, please enter contact info below.

Is there a Co-Listing Agent? *

Yes No

Co-Listing Agent Company / Brokerage Name

Co-Listing Agent Full Name

Co-Listing Agent Phone

Co-Listing Agent Email

III

Transaction Coordinator (Listing Agent)?

If you would like them copied on notifications, please enter contact info below.

Is there a Transaction Coordinator (TC) for Listing Agent? *

Yes No

Transaction Coordinator — Company / Brokerage Name

Transaction Coordinator — Name

Transaction Coordinator — Phone

Transaction Coordinator — Email

Seller #1 Information

This creates the primary contact record for the file.

Seller Full Name *

Seller Email *

Seller Phone *

Seller #2 — Co-Borrower Information

If applicable; or if Power of Attorney, please add here.

Is there a Co-Borrower? *

Yes No Unsure

Co-Borrower Full Name

Co-Borrower Phone

Co-Borrower Email

Property Information

Street Address *

City *

State *

Postal Code *

Subject County *

Property Type *

Single Family (SFR) Condo/Townhome Multi-Family (1-4 units) Lot/Land Commercial

Property Use *

Personal Investment/Vacation Unsure

Property Listed FOR SALE? *

Yes No, not yet

Current Buyer Offer? *

Yes No, not yet

Pending Foreclosure Sale? *

Yes No Unsure

Pending Foreclosure Sale Date

Is there a Solar Lease or Loan? *

Yes No Unsure

Seller/Homeowner Committed to Short-Sale? *

Yes Unsure

Seller/Homeowner Aware of LMS as a Short-Sale Service? *

Yes No, not yet (consult needed)

Seller Additional Notes

Referred By . . .

By submitting this form, you agree to receive SMS or email messages from LMS related to your short-sale file, including confirmation, status updates, and document requests. Message and data rates may apply. Reply STOP to unsubscribe.