* Your name:

* E-mail address:

Daytime phone:

Evening phone:

Best time to call:

Property Description

Property street address:

Property city and state:

Property zip code:

The Property is currently:

Owner Occupied Occupied by Renter Vacant

Bedrooms:

1 2 3 4 5 6 7+

Baths:

1 2 3 4 5 6 7+

Lot Size

Age of House:

Garage:

One Car Attached One Car Detached Two Car Attached Two Car Detached Please Select

What is the general condition of the house:

Excellent Good Fair Poor Ugly Please Select

Please describe any needed repairs in this box

Check all that apply

Wood Floors

Formal Dining Room

Carpeting

Game Room

Tile

Fireplace

Finished Basement

Deck

Unfinished Basement

Swimming Pool

Privacy Fence

Other Fence

Brick

Vinyl Siding

Steel Siding

Wood Siding

Other Siding

Stucco

Central Heat

Central Air

Floor Furnace

Wood Stove

Septic Tank

Slab

Crawl Space

Shop

Storage Shed

Financial Information

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:

Yes No Select

Are there other mortgages on the property:

Yes No Select

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 by typing an explanation here.

Are all mortgage payments current:

Yes No Select

Current Loan Status

Have you received a foreclosure notice:

Yes No Select

Has a foreclosure sale date been set:

Yes No Select

Sale date:

Property Status

Is your property currently listed with a real estate agent/broker:

Yes No Select

If property "is" listed, when does your listing expire:

Are you currently in bankruptcy:

Yes No Select

* How did you hear about us:

Referral from Attorney Referral from CPA Referral from Friend Referral from Realtor Local Newspaper Postcard Letter Internet search engine Link from other Internet site Other

Please provide any further comments that you feel are important in the box below...

Comments
Please describe any needed repairs in this box