Michigan Attorney General Foreclosure Complaint Form


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FORECLOSURE RESCUE COMPLAINT FORM


(Only New Complaints May Be Filed On-Line) Please be aware of the following: Complaints and inquiries become public records when they are submitted to the Attorney General's office, and under the Michigan Freedom of Information Act, copies may be subject to disclosure to anyone who asks for them. A copy of the complaint will be sent to the business against whom the complaint is issued. An accurate company Fax number will expedite processing. A copy of the complaint may be sent to other governmental agencies. Please be particularly cautious with information containing your Social Security number, credit card account numbers, etc. for security purposes. If you believe it is necessary to submit such information, you should mail that information and the corresponding complaint instead of sending it electronically. Do not use punctuation when providing names and addresses. NOTE: Fields labelled in RED are required values.
Consumer Information

Your Last Name:	* *	First Name:	* * M.I.: *
Your Street Address:	* *	City:	* *
Your State:	*	Zip Code:	* *
Your County:		Your Home Phone:	*
E-mail Address:	* *	Your Work Phone:	* Ext: *
Retype your E-mail:	*	Fax Number:	*

Primary Company Or Person Your Complaint Is About

Company or Person?
Complainee Last Name:	* *	Complainee First Name:	* *
Company Name:	* *
Street Address:	* *	City:	* *
State:	*	Zip Code:	* *
County:		Phone:	*
Fax Number:	*	E-mail Address:	*
Web Site Address:	*	Product Offered:	*

Secondary Company Or Person Your Complaint Is About

Company or Person?
Complainee Last Name:	*	Complainee First Name:	*
Company Name:	*
Street Address:	*	City:	*
State:		Zip Code:	*
County:		Phone:	*
Fax Number:	*	E-mail Address:	*
Web Site Address:	*

General Incident Information

	Incident Date:	* *
	Incident Time:	:
	Incident Location:	*
	Approximate Monetary Value:	* ($1.50, 150, $1,500)
	Did you sign a contract?	YesNo
	Where did you sign this contract?	*
	Is a court action pending?	YesNo
	Do you have an attorney representing you on this matter?	YesNo
	Are you willing to testify in court regarding this complaint?	YesNo
	Did you complain directly to the business?	YesNo	If so, who? *
	What was the response from the business?	*
	If no complaint was given to the business directly, why?	*
	Was this complaint filed with any other agencies?	YesNo	If so, who? *

Foreclosure Rescue Complaint Information:

Did the company that you are complaining about do any of the following?:
Guarantee to stop the foreclosure process no matter what the circumstances?		YesNo
Instruct you not to contact your lender, lawyer, or credit or housing counselor?		YesNo
Collect a fee before completing services?		YesNo
If yes above, what form of payment did you use?		*
Encourage you to lease or rent your home so you could buy it back over time?		YesNo
Tell you to make your mortgage payments directly to them rather than your lender?		YesNo
Tell you to transfer your property deed or title to them?		YesNo
Pressure you to sign paperwork that you did not have a chance to read thoroughly or that you did not understand?		YesNo
Tell you that the company was:		A Licensed Business A Non-profit Business A Government Agency None of the above
Did you see an advertisement for this service?		Yes* No
		* If yes, please forward a copy (see 'send documentation' checkbox below) or, if you no longer have a copy, please identify (in the 'Complaint Detail' section below) where you saw the advertisement and what the advertisement said.

Complaint Detail/Inquiry Information *
Describe your problem, what attempts you have made to correct it, and how you would like to have the problem resolved. You have approximately 8-10 typed pages and you may paste text from word processing documents.


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I certify that the information on this form is true and accurate to the best of my knowledge. *
I consent to releasing to the Michigan Attorney General any information or document relative to the investigation of this complaint. By checking this box, I also certify that I have had the opportunity to review the Michigan Attorney General Privacy Policy before submitting this complaint.			* Read the Privacy Policy


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