The Charlie 10
Distressed Homeowner Interview System
Homeowner Information
Client Name *
Property Address *
Phone
The Charlie 10 Questions
1. Are you working on a loan modification right now?
Select...
Yes - Active
Yes - Recently Denied
No
Not Sure
2a. Current Interest Rate (%)
2b. Current Monthly Payment ($)
3. From 1-10, how badly do you want to start paying again?
5
4. What caused you to fall behind?
Select hardship type...
Temporary (job loss, medical, divorce)
Permanent (disability, income reduction)
5. Do you own the home by yourself?
Select...
Sole Owner
Joint Ownership (spouse/partner)
Trust
Other
6. Is this your primary residence?
Select...
Yes - I live here
No - Vacant
No - Rented out
7. How much do you believe the home is worth?
8. Is the property listed for sale?
Select...
No - Not Listed
Yes - Active Listing
Yes - Expired Listing
9. Who is your lender?
10. Have you filed for bankruptcy recently?
Select...
No
Yes - Chapter 7
Yes - Chapter 13
Yes - Dismissed
Complete Interview