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About You |
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| How
did you hear about us?: |
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| First
Name: |
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| Last
Name: |
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| Day
Phone: |
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| Evening
Phone: |
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| Mobile
Phone: |
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| Email
Address: |
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| Property
Information |
| Address: |
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| City: |
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| State: |
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| Zip
Code: |
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| Year
Built |
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| How
long have your owned the house: |
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| Type
of House: |
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| Size
(SqFt): |
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| Type
of Foundation: |
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| Exterior
Finish: |
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| Roof
Type: |
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| Bedrooms: |
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| Baths: |
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| Garage: |
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| Condition: |
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| Is the
Property Occupied? |
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| Is the
Property Listed with a Realtor? |
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| If
YES, when does the listing expire? |
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| Financial
Information: |
| How
much do you owe on the house?: |
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| How
much is the house worth?: |
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| 1st
Mortgage Balance: |
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| 1st
Mortgage Payment: |
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| Interest
Rate: |
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| 1st
Mortgage Holder: |
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| 2nd
Mortgage Balance: |
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| 2nd
Mortgage Payment: |
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| Interest
Rate: |
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| 2nd
Mortgage Holder: |
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| Do you have
an equity line of credit on this property? |
| Balance: |
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| Payment: |
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| Interest
Rate: |
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| Holder: |
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| Are
Payments Current? |
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| If NO how
far behind?: |
| Number
of payments/months: |
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| Amount
$: |
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| Have you received
a warning letter or Notice of Foreclosure from
your Lender?: |
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| Is the
house attached to a bankruptcy?: |
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| What
is your Asking Price?: |
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| How
soon do you need to sell?: |
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| Is
there anything else we should know about the property or
your situation? Additional comments: |
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