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First and Last Name: |
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Address of Property for
Sale: |
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City, Province and
Postal Code: |
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E-mail Address: |
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Daytime Phone with Area
Code: |
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Evening Phone with Area
Code: |
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Cell Phone with Area Code: |
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Are You The Owner: |
Yes
No |
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If "No", Please list the
Owners Name: |
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How Quickly Do You Need
to Sell: |
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Reason for Sale: |
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If "Other"
please specify:
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Property Information |
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Property Type: |
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If "Other" Property
Type, Please explain: |
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Property or Home Condition: |
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Estimated Value: |
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How Much Would You Sell
For If You Could Get a Fast
Sale Now: |
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Square Footage (if known): |
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Number of Bedrooms: |
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Number of Bathrooms: |
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Stories: |
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Age of Home: |
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Pool: |
Yes
No |
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Garage: |
Yes
No |
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If "Other" Garage Type
Please Explain |
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Is the Property Currently
Occupied: |
Yes
No |
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Is the Property listed with
a Realtor: |
Yes
No |
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If property is listed, when
does it expire: |
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Mortgage Information |
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1st Mortgage Balance Estimate: |
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Monthly Payment: |
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Does first mortgage payment
include: taxes and insurance: |
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How Many Payments Are You
Behind: |
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Do You Have a 2nd Mortgage
or Home Equity Loan: |
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2nd Mortgage or Equity Loan
Balance Estimate: |
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Other Notes or Comments
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