Apply - Step 1

Apply Online

Please read the application overview below, then continue with the application process.

  • Application Overview
  • Step 1: Complete address, contact, and property information.
  • Step 2: Complete employment and mortgage information.
  • Step 3: Complete income and expenses information.
  • Step 4: Review and confirm your entered data.

General Information

First Name
Last Name
Spouse First Name
Spouse Last Name
Referred By

Address Information

Address Line 1
Address Line 2
City
State
Zip

Contact Information

Phone Number
Alternate Phone Number
Email Address
Alternate Email Address
Preferred Contact Method Phone Email

Property In Foreclosure

Same as Contact Address?
Address Line 1
Address Line 2
City
State
Zip

Apply - Step 2

Apply Online

Please complete the following fields to continue.

Employment Information

Employer
Years in Current Job
Work Phone
Part Time Employer
Years in Part Time Job
Spouse Employer
Spouse's Years in Job
Work Phone
Spouse's Part Time Employer
Spouse's Years in Part Time Job
Number of Dependents
Dependent Ages (enter 0 for none)

Mortgage Information

First Mortgage Lender
Mortgage Loan Type
Mortgage Loan Number
Months Behind
Second Mortgage Lender
Months Behind
Purchase Price
Owed / Balance
Date Purchased
Market Value / City Asset
Foreclosure Lawyer
Foreclosure Hearing Date
Foreclosure Sale Date
Detailed Reason Behind

Apply - Step 3

Apply Online

Please complete the following fields to continue.

Income Information

Debtor's Monthly Take Home Pay
Spouse's Monthly Take Home Pay
Other Monthly Income
Other Monthly Income Description
Estimated Avg. Future Monthly Income
Cash on Hand for Negotiation

Expenses Information

Rent or Home Mortgage Payment
Second Rent or Home Mortgage Payment
Electricity Bill
Heating Bill
Water / Sanitation Bill
Telephone Bill
Newspapers, Periodicals, Books, etc.
Medical and Drug Expenses
Auto Insurance
Homeowner's Insurance
Cable Television
Transportation (Gas, Bus Fare, Cab Fare, etc.)
Property Taxes
Alimony, Maintenance, or Support
Child Care, College or Private School Tuition
Clothing
Laundry and Cleaning
Religious and/or Charity
Automobile Payments
Misc. Creditors Total of Monthly Payments
Chapter 13 Payment
Food (Includes groceries, eating out, toiletries)

Apply - Step 4

Apply Online

Please review your application carefully, then click the submit button to proceed.

Contact Information:

Office Phone: 1-800-409-7902

Office Fax: 1-800-705-6516

Email: hope@nationalloanhelp.com

Address Information:

National Modification Service

100 Broadhollow Rd, Suite 204

Farmingdale, NY 11735