Property Owner*

First Name Last Name

Property Co-Owner Name or (Leave blank if this doesn't apply to you)

Parcel ID:

Your best phone number*

Client's best E-mail address: Email

Property Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Type of Property

Source

Do you live in the house now? If not, is it rented or is it vacant?

I still live in the house Rented Vacant

IF VACANT (how long has it been vacant)? or NA if still occupied

If rented, how much is the tenant paying for rent? (Leave blank if this doesn't apply to you)

IF RENTED (do they pay on time)?

Yes No I still live there

What repairs does the house need?

How much would you estimate the cost?

Why do you need to sell your house/ property?

On a scale from 1-10 (10 being the highest), what level is your motivation?

How much do you owe on your mortgage?

Are you willing to sell it for what you owe?

If not why not? or leave blank.

How did you come up with that estimate?

What do you plan to do with your equity, if you have any?

Would you consider a solid investment opportunity?

Yes No I would be skeptical but try to remain open minded

Who do you make your payments to?

What is the interest rate on your loan?

What is your monthly payment?

Does that include taxes and insurance?

Yes No

Are you current on your payments?

Yes, I'm current No, Not current

If not current, how far are you behind?

Do you have a second mortgage?

Yes No

Who do you make your second mortgage payments to?

Leave blank if not applicable

What is the interest rate on your second mortgage loan?

Leave blank if not applicable

What is your second mortgage monthly payment?

Leave blank if not applicable

Does that include taxes and insurance on your second mortgage?

Yes No

Are you current on your payments on your second mortgage? (Leave blank if not applicable)

Yes No

Message or anything else relevant to the disposition of the property?

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