Name : 

Property Address : 

City or Town : 

State/Province : 

Country

Zip / Postal Code : 

Work Phone : 

Cell Phone :

Home Phone :

Fax : 

Email : 

The Property is currently :

Square footage :

Year Built :

Type :

Bedrooms :

Full Baths :

Half Baths :

Garage :

What is your asking price?

1 st Mortgage Balance :

1 st Mortgage Payment Amount :

1 st Mortgage Lender :

Does the 1 st Mortgage Payment include taxes and insurance?

If no, how much is your monthly taxes and insurance payment?

Are their any other mortgages on the property?

If yes, 2 nd Mortgage Balance:

2 nd Mortgage Payment Amount:

2 nd Mortgage Lender:

Are all mortgage payments current?

If not, how many months are you behind?

Has a foreclosure date been set?

If yes, what date?

Is your property currently listed with a realtor?

If yes, when does your listing expire?

Would you consider owner financing?

Are you currently in bankruptcy?

How did you hear about us?

Your Comments :