Intake form

Help us serve you better

Name *

Email address *

What is your current housing situation?

What type of assistance are you seeking?

Please select at least one option.

Financial guidance

Legal advice

Foreclosure prevention strategies

Loan modification assistance

General inquiry

How did you hear about CONQUER LAW LEGAL FOUNDATION?

What is the estimated amount of your mortgage?

What state is your property located in?

Have you previously sought assistance regarding your foreclosure?

When did you first experience issues with your mortgage payments?

Additional questions or comments

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