File A Complaint: 1-800-680-5717 If you would like to speak with an attorney who will review your case, please fill out our STRICTLY CONFIDENTIAL information request form below: Your Contact Information: Please tell us who you are and how we can reach you. Name: Email Address: Phone: State --- Please Select --- Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming The Loan Modification Company You Paid: Next we will ask some questions about the company that you paid for loan modification or foreclosure services. Please answer these to the best of your knowledge, if you do not know an answer leave it blank. What was the name of loan modification company? What is the company's phone number? What is the person's name who you spoke with? On what date did you pay this company? Total Amount Paid: Was the person you paid a lawyer? Yes No Were you served with a notice of default prior to payment? Yes No Did this company take any money from you before its services were fully completed? Yes No Have you reached a satisfactory settlement to your mortgage or foreclosure situation? Yes No How did you hear about United Law Group? Are there any comments you wish to make?

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