Loan Modification Scam Online Complaint Form

In order to protect your privacy, we suggest you remove all confidential information from the complaint and documents you submit to us, such as your Social Security number, financial account numbers, and any medical information.  In order to resolve your complaint, we may send a copy of this form to the person or company about whom you are complaining. 

For more information about the Office of the Attorney General's online information practice regarding the information collected from visitors to our Website and ways in which the office uses and maintains this information, please visit our Privacy Policy .

Your (Consumer) Information
xxxxx or xxxxx-xxxx
(ex:999-999-9999 or 999-999-9999 x9999)
(ex:999-999-9999 or 999-999-9999 x9999)
Company Information
xxxxx or xxxxx-xxxx
(ex:999-999-9999 or 999-999-9999 x9999)
Additional Details
(ex:999-999-9999 or 999-999-9999 x9999)
File Attachments

Please attach any supporting documentation, such as advertisements, contracts, proof of payment, correspondence including emails etc.

Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png bmp txt rtf pdf doc docx ppt pptx xls xlsx.
  • You may upload up to 4 files with a total file size limit of 20 megabytes.
  • Accepted document types: TXT, DOC, DOCX, XLS, XLSX, PDF, RTF, PPT, PPTX
  • Accepted image types:  BMP, GIF, JPG, PNG
In submitting this form, complainant understands that:

By typing my full name below, I certify that the above complaint is true and accurate to the best of my knowledge and that any documents attached are true and accurate copies of the originals.