Hablamos Español

James D. Huls and Associates

Forms

Content needed

Full Name
Address
Phone
Email Address
Best time to contact you?
What type of bills do you have?








Number of Bills
Amount Owed:









Approximate value of home:
Approximate balance on mortgage:
Monthly mortgage payment:
Are you up to date on your mortgage payment?




Are there any other mortgages on this property?




Vehicle 1
Year/Make/Model:
Approximate Value:
Approximate Balance:
Monthly Payment:
Are your payments up to date?




Vehicle 2
Year/Make/Model:
Approximate Value:
Approximate Balance:
Monthly Payment:
Are your payments up to date?




Enter any other property of significant value. (For example, if you own a boat, list it here.)
You Are you employed




How often do you get paid?






Net Pay: (after taxes, medical and other deductions)
What other types of income do you have?









Spouse(optional)






Net Pay: (after taxes, medical and other deductions)
Spam Question: What is 2 + 2?