Florida Attorney General - National Settlement

National Foreclosure Settlement Form

If you have already contacted your bank but would like to report a complaint about the bank's handling of your inquiry or you have other questions or concerns about the settlement, you may complete and submit this form for our review.

Fields marked with an asterisk (*) are required

Contact Information

Prefix:

*First Name:

*Last Name:

Name of Business:

Title:

*Street Address:

*City:

*State:

*Zip:

*County:

*Country:

*Phone:

*Email:

Borrower Information

Prefix:

*First Name:

*Last Name:

Name of Business:

*Current Street Address:

*City:

*State:

*Zip:

*County:

*Country:

*Phone:

*Email:

Co-Borrower Information (if any)

Prefix:

First Name:

Last Name:

Name of Business:

Current Street Address:

City:

State:

Zip:

County:

Country:

Property Subject to the Mortgage

*Mortgage Property Street Address:

*City:

*State:

*Zip:

*County:

Mortgage Information

*Name of bank that serviced the mortgage loan:

*Please select which statement applies to you:

Borrower is delinquent on loan or having difficulty making mortgage payments
Borrower is current on mortgage payments and interested in refinancing
Other (briefly explain)

Questions/Comments (1000 characters or less)

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I understand that your office does not give legal advice. I also understand that your office cannot take legal action for me individually.

Note:

All documents and attachments submitted to this agency are subject to public inspection pursuant to Chapter 119, Florida Statutes.
Whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his official duty shall be guilty of a misdemeanor of the second degree, punishable as provided in s. 775.082, s. 775.083, or s. 837.06 Florida Statutes.

I am filing this complaint to notify your office of the activities of this business/individual and to seek any assistance you may be able to render.

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