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*All information is kept confidential.The more information you provide, the faster we can help.                               Complete only the questions you feel comfortable answering.

Why are you looking to sell your property?

Bankruptcy Foreclosure Job Transfer / Relocation Divorce Making 2 payments Bad Tenants House Vacant Probate

Other:

-No- -Yes-

How much is the 1st mortgage on your house?

Are there liens or a 2nd mortgage?

How much is your monthly house payment?

How much is the house worth?

If behind, how many payments have you missed?

Have you received a Foreclosure warning, if so, when?

Have you received a Notice of Foreclosure, if so, when?

Has a Foreclosure date been set, if so, when?

Is the house attached to Bankruptcy?

-No- -Yes-

Is the house currently occupied?

-No- -Yes-

1-Bedroom 2-Bedrooms 3-Bedrooms 4-Bedrooms 5+Bedrooms

1 Bath 1 1/2 Baths 2 Baths 2 1/2 Baths 3 Baths 3 1/2+Baths

Ranch Split level 2 Story 3 Story Other

Brick siding Wood Vinyl Siding Stucco Other

What year was the house built?

No Air Conditioning central air window unit

No basement Unfinished Basement Finished Basement Other

No Garage 1 car attached 2 car attached 3 car attached 1 car detached 2 car detached 3 car detached

Electric furnace Electric baseboard Gas Oil wood solar Other

City water well water Other

Ceiling Fans

Fireplace

Fenced Yard

Pool

If the house is currently listed with a realtor, when does the listing expire?

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