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Best Time to Call

Please Tell Us About The Property

Property Address

City, State, Zip

Property Is Currently

No. of Bedrooms

No. of Bathrooms

Age of House


General Condition of the House

Square Footage

Please Describe Any Needed Repairs In This Box

Tell Us About The Numbers

How Much Do You Feel The Property Is Worth?

1st Mortgage Balance

1st Mortgage Payment Amount

Does The 1st Mortgage Payment Include Taxes and Insurance?

Are There Other Mortgages On This Property?

What Is The Combined Balance Of All Mortgages?

What Is The Combined Monthly Payment On All Mortgages?

Please Tell Us About Any Other Liens And/Or Other Title Problems That May Affect This Property

Are All Mortgage Payments Current?

*If Payments Are Current You Can Skip Next Section

If Payments Are Not Current, How Far Behind Are They?

1st Mortgage

$ Amount Behind

# Of Payments

2nd Mortgage

$ Amount Behind

# Of Payments

Other Mortgage

$ Amount Behind

# Of Payments

Have Your Received A Foreclosure Notice?

Has A Foreclosure Sale Date Been Set?

Foreclosure Sale Date

Just A Couple More Questions..

Is Your Property Currently Listed With A Real Estate Agent/Broker?

If Property Is Listed, When Does Your Listing Expire?

Are Your Currently In Bankruptcy?

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