Homeowner Information |
| First and Last Name *: |
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| Address of Property for
Sale: |
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| City |
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| State |
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| Zip Code: |
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| E-mail Address *: |
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| Home Phone *: |
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| Cell Phone: |
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| How Quickly Do You Need
to Sell? |
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| Reason for Sale: |
If "Other" please specify:
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| Property Information |
| Property Type: |
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| Property or Home Condition: |
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| Estimated Value: |
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| How Much Would You Sell For If You
Could Get a Fast Sale Now? |
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| Square Footage (if known): |
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| Number of Bedrooms: |
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| Number of Bathrooms: |
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| Stories: |
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| Age of Home: |
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| Pool? |
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| Garage? |
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| Is the Property Vacant? |
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| Is the Property listed with a Realtor? |
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Mortgage
Information |
| 1st Mortgage Balance
Estimate: |
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| Monthly Payment: |
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| Does first mortgage payment include:
taxes and insurance? |
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| Are You Current On Payments? |
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| How Many Payments Are You Behind? |
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| Do You Have a 2nd Mortgage or Home Equity
Loan? |
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| Are
You Current On 2nd Mort Payments?: |
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| 2nd Mortgage or Equity Loan Balance
Estimate: |
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Other Notes or Comments
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