Tell us about you... |
* Your First Name:
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* Your Last Name:
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* E-mail Address:
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Day Time Phone: (Please include area code)
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Evening Phone: (Please include area code)
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Best Time To Call:
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Tell us about the property... |
Property street address:
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Property city:
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Property state:
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Property Zip:
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The Property is currently:
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No. of Bedrooms:
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No. of Baths:
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Square Footage:
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Age of House:
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Garage:
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What is the general condition of the house:
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Please describe any needed repairs in this box:
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Check all that apply |
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Tell us about the numbers... |
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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Please tell us about any other liens and/or other title problems that may affect this property by typing an explanation here:
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Are all mortgage payments current: If payments are current click here
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If payments are not current, how far behind are they... |
1st mortgage |
$ Amount Behind:
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# of payments:
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2nd mortgage |
$ Amount Behind:
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# of payments:
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Other mortgage |
$ Amount Behind:
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# 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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(Please click on the calendar icon to select the date)
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Just a couple more questions... |
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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Captcha Code: |
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* Enter Code Above: |
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