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Selling Phoenix Area Homes since 2001
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First Name
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Last Name
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Email
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Phone Number
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Property Ownership?
Primary
Investment
Property Occupancy?
Occupied
Vacant
Current Address
House No.
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Street
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Suite No.
City
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State
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Zip
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Property Address
Same as Address Above?
House No.
Street
Suite No.
City
State
Zip
Loan/Lender Info
1st Lender Name
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Is 1st Loan a FHA or VA Loan?
No
FHA
VA
Uncertain
(required)
Approximate 1st Loan Balance
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2nd Lender Name (if applicable)
Approximate 2nd Loan Balance
3rd Lender Name (if applicable)
Approximate 3rd Loan Balance
Are any loans Equity Lines of Credit (HELOC)?
1st
2nd
3rd
None
Are all your loans original purchase money loans? If not, which were refinanced and was it/were they a cash out refinance?
Are there any other liens (IRS, etc)?
Do you have Private Mortgage Insurance?
Yes
No
Don't Know
When did you last make your mortgage payment?
(required)
Have you recently spoken with your bank about your options?
Have you spoken to another agent or real estate team in regards to a Short Sale?
What is most important to you in this transaction? Or any other comments?
How did you hear about us?
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