| First and Last Name: |
|
| Address of Property for
Sale: |
|
| City, State and Zip Code: |
|
| E-mail Address: |
|
| Daytime Phone with Area Code: |
|
| Evening Phone with Area Code: |
|
| Cell Phone with Area Code: |
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| Are You The Owner? |
|
| If "No", Please list the
Owners Name: |
|
| How Quickly Do You Need
to Sell? |
|
| Reason for Sale: |
If "Other" please specify:
|
| Property Type: |
|
| Property or Home Condition: |
|
| Estimated Value: |
|
How Much Would You Sell For
If You Could Get a Fast Sale Now? |
|
| 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? |
|
| Is the Property Currently Occupied? |
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| Is the Property listed with a Realtor? |
|
|
| 1st Mortgage Balance
Estimate: |
|
| Monthly Payment: |
|
Does first mortgage payment include:
taxes and insurance? |
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| How Many Payments Are You Behind? |
|
Do You Have a 2nd Mortgage or
Home Equity Loan? |
|
2nd Mortgage or
Equity Loan Balance Estimate: |
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Other Notes or Comments
|
|
|
