Test – Asset Revital

1. Are you the homeowner?

Yes No

2. How many mortgage payments were missed in total?

1 Month 2 Months 3 Months 4 Months+

3. Approximately, what is the Monthly Mortgage?

$1000-$2000 $2000-$3000 $3000-$4000 $4000+

4. Are you or anyone currently living at the property?

Yes No

5. What is the best email address to reach you?

1. What is the property Zip code?

3. When was the property purchased?

1 year ago 2 years ago 3 years ago 4+ years

4. Has a “For Sale” sign been placed on the property?

Yes No

2. Briefly elaborate on how we can help: (300 character limit)

3. Do you prefer we reach out via text or phone call?

Text Phone Call

4. What is the best phone number to reach you?

Thank you for filling up the questionnaire! One of our representatives will review your case and respond within 24 hours. In the mean time, we’ve emailed you some important information to review so you’re legally equipped to protect yourself .

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