Selling

Name

First Name

Phone

Address

Country

Address Line 1

Address Line 2

City

State

ZIP Code

What’s your asking price?

Market Value?

What is Monthly Payment?

Does that include Taxes & Insurance?

Is it listed with a Realtor?

Yes No

Are Payments Current? If not, what is the reinstatement balance?

When was the loan taken out?

Name of Mortgage/Lender/Service Company

Type of loan: VA, FHA, Conventional?

Is there a Ballon Or Prepayment penalty?

Phone Number to Mortgage/Lender/Service Company

Other Loans

Is 2nd Loan Current?

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