American Trust Deed Services Page

New Order Transmittal Form

Faxable Version

Substitution Of Trustee Form

Date

This account is being referred for:

Foreclosure

Deed-In-Lieu

Bankruptcy Relief

Eviction

Client and Loan Information

Client Name/Address/Phone/Fax

Loan Number:

Loan Type:

Loan Position: 1st 2nd 3rd

UCC Filing: Yes No

Borrower Information

Trustor SSN:

Trustor Name: Property Address

Trustor Name: Mailing Address

Status of Account

Date Due:	Monthly Payment:	Total Due:
Principal Balance:	Escrow/Advance Balance:	Interest Rate:
Late Charge:	Interest Paid to:	Occupied by:

Reason for Default

Documents Enclosed (Originals/Copies): check one

Deed of trust	Demand Letter	Assignment(s)	Note
Bankruptcy Relief	Substitution	Title policy	MIC/LGC

Please forward copies of all correspondence to the attention of:

The undersigned hereby promise(s) and agree(s) to pay you trustee's fee in the amount permitted by law, together with all costs and expenses incidental to these proceedings. It is agreed and understood that you may not proceed with the sale and/or deliver your trustee's deed until all fees and costs have been paid. I / We also agree to pay on demand, as well as indemnify and hold you harmless from and against all costs, damages, attorney's fees, expenses, obligations and liabilities of any kind which you may incur or sustain by reason of this default and foreclosure proceeding and/or the sale of the trust property by reason of any act of omission or commission on the part of others and the undersigned, for whom you are acting, as an agent. (your phone number / email address will serve as agreement in place of signature.) It is also agreed and understood that no funds shall be accepted by client as it may void our action and client will be held liable for fees and costs.

Signed,

Special Instructions

Your Phone:		Your Email:

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