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Date*

First Name*

Last Name*

Email*

Phone*

Other Phone

Property Address*

City*

State*

Zip Code*

Property Type*

Number of Bedrooms*

Number of Bathrooms*

Square Footage*

Basement*

Type of Parking?

Pool?

What is Your Current FICO Credit Score?

Is (Fair) FICO Score 650 + ?

What Is Your Total Combined Monthly Income?

Are You The Owner of The Property?

Do You Want to Keep or Sell The Property?*

Reason For Selling*

What Would The Property Appraise For?

Monthly Mortgage Payment Amount*

Amount Owed (All Mortgages Combined)

Number of Months Behind?

Have You Talked To Your Lender?

What Is Your Asking Price?

Would You Sell Your Property To Us For The Amount You Owe?

If we were to pay All Cash and close quickly, what's the least you would take for the property right now?

Property Condition (On a scale of 1-10 what would you give the property?)*

Occupancy*

If, Rented

If, Leased (Lease Expiration Date?)

HOA Fees (if any)

Property Manager or Land Lord

Electric Condition

Plumbing Condition

Flooring Condition

Kitchen Condition

Bathroom(s) Condition

Roof Status

Repair Estimate

Tax Value

Property Tax

Water Source

Construction Type

Construction Status

Construction Permits

Last Termite Inspection (Inspection Date)

Termite Bond?

Last HVAC Inspection

Is, or has, your property been listed with a realtor?

How Did You Hear About Us?

Comments

SELL YOUR HOUSE FAST! BUY A HOUSE EASY AND HASSLE-FREE!

STOP FORECLOSURE, SAVE YOUR CREDIT AND EQUITY WITH OUR FORECLOSURE INTERVENTION SERVICES

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