Please complete this form to report a mortgage-related concern. You may submit anonymously leaving contact information blank. Contact Information (Optional)Name First Last Email Phone Country Phone Number Do you wish to be contacted regarding this complaint?Do you wish to be contacted regarding this complaint? Yes No Loan InformationLoan NumberProperty AddressComplaint DetailsDate Issue Began Month Day Year Describe the issue:Previous Actions TakenHave you contacted Green Brick Mortgage previously? Yes No If yes, provide details:Requested ResolutionWhat outcome are you seeking?