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Seller information

First name

Last name

Phone

Best time to call

E-mail

Property address

City

Zip

Subdivision

Bedrooms

Bathrooms

Does this property have a garage? *

Yes

No

Size (Sq. Ft)

Year it was built

How long has the seller owned it? (years)

Do you have a Survey? *

Yes

No

Reason for selling

Does the house need repairs? *

Yes

No

How much is the estimate for repairs?

Asking Price

Estimated value

How did you arrive at your price?

When do you want/need to move?

Deadline date?

Existing Financing

Tell me about your existing Financing

What do you owe on your mortgage?

What is your loan balance?

1st mortgage balance:

1st mortgage lender:

Monthly Payment:

PI or PITI? *

PI

PITI

PI or PTI Amount

Interest rate (%)

Are the payments current? *

Yes

No

How much behind? (in $)

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