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















Borrower Information














Co-Borrower Information (if any)











Property Subject to the Mortgage






Mortgage Information




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:
  1. All documents and attachments submitted to this agency are subject to public inspection pursuant to Chapter 119, Florida Statutes.
  2. 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.