Tell Us About You
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First Name: |
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Last Name: |
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Daytime Phone:
(include area code) |
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Evening Phone:
(include area code) |
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Best Time To Call: |
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Email: |
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Best Method To Contact: |
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Tell Us About The Property
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Property Address Street 1: |
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Property Address Street 2: |
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Property City: |
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Property Zip Code: |
(5 digits) |
Property State: |
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Property Is Currently: |
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Number of Bedrooms: |
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Number of Bathrooms: |
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Garage: |
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Square Footage: |
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Year Built: |
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Lot Size: |
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Condition of the Property: |
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Describe Needed Repairs: |
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Check All That Apply
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Wood Floors |
Formal Dining Room |
Carpeting |
Game Room |
Tile |
Fireplace |
Finished Basement |
Deck |
Unfinished Basement |
Swimming Pool |
Privacy Fence |
Other Fence |
Brick |
Vinyl Siding |
Steel Siding |
Wood Siding |
Other Siding |
Stucco |
Central Heat |
Central Air |
Floor Furnace |
Wood Stove |
Septic Tank |
Crawl Space |
Slab |
Storage Shed |
Shop |
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Tell Us About The Numbers
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How much do you feel the property is worth: |
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1st mortgage balance: |
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1st mortgage payment amount: |
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Does the 1st mortgage payment include taxes and insurance: |
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Are there other mortgages on the property: |
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What is the combined balance of all mortgages: |
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What is the combined monthly payment on all mortgages: |
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Are all mortgage payments current: |
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Additional Comments |
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If Payments Are Not Current, How Behind Are They
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First Mortgage
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$Amount Behind: |
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Number of Payments: |
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Second Mortgage
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$Amount Behind: |
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Number of Payments: |
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Other Mortgage
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$Amount Behind: |
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Number of Payments: |
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Have You Received A Foreclosure Notice: |
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Has a foreclosure sale date been set: |
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Sale date: |
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A Few More Questions
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Is your property currently listed with a real estate agent/broker: |
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If property "is" listed, when does your listing expire: |
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Are you currently in bankruptcy: |
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How did you hear about us?: |
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Please provide any further comments that you feel are important in the box below... |
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