INTRO VERBAGE
Contact Information
Name
Day Phone
Evening Phone
Email Address
How did you hear about us?
Business Card
Letter/Postcard/Flyer
Newspaper Ad
Referral
Internet
Street Sign
Other
If Other, Where?
Property Identification
Street Address
City
State
Georgia
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
District of Columbia
West Virginia
Wisconsin
Wyoming
Zip Code
Subdivision (if any)
Financial Information
How much do you owe on your property?
How much is the property worth?
1st Mortgage Holder
1st Mortgage Payment
1st Mortgage Balance
2nd Mortgage Holder
2nd Mortgage Payment
2nd Mortgage Balance
Do you have an equity line on this property?
Yes
No
Equity Line Holder
Equity Line Payment
Equity Line Balance
Total Monthly Payment on this property
Are the payments current?
Yes
No
If no, how far behind?
# of pmts/months
$ amount
Penalties/fees included?
1st Mortgage
Yes
No
2nd Mortgage
Yes
No
Equity Line
Yes
No
Have you received a foreclosure warning letter from your lender?
Yes
No
Have you received a notice of Foreclosure?
Yes
No
Has a Foreclosure Sale Date been set?
Yes
No
If Yes, what is the date?
Is the property attached to a bankruptcy?
Yes
No
Is the property
Occupied
Unoccupied
Does the property need repairs?
Yes
No
If Yes, please describe the repairs needed
Total estimated cost of repairs
Property Description
Exterior
Ranch
2-Story
Split Foyer
Split Level
Sq. Footage
All Brick
Brick Siding
Wood Siding
Vinyl/Aluminum Siding
Stucco
Lot Size
Age of Roof
Interior
# of Bedrooms
# of Baths
Formal Living Room
Formal Dining Room
Fireplace
Ceiling Fans
Basement
Crawl Space
Slab
Finished
Unfinished
Partial
Other
Garage
Carport
On-Street
Off-Street
# of Cars
Sewer
Septic
Central Air
# of Units
Fenced in Backyard
Pool
What year was the property built?
How long have you owned the property?
Is the property listed with a real estate agent?
Yes
No
If yes, when does the listing expire?
Why do you want to sell?