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Buyer Information

First Name:
Last Name:
Address:
City:
State/Prov:
Zip/Postal Code:

Home Phone:
Work Phone:
Mobile Phone:
Receive SMS Notifications:
E-mail Address:

Are you looking to purchase:
Property Type
Rent/Own
Pre-Approved?
City of Interest #1:
City of Interest #2:
City of Interest #3:
City of Interest #4:
City of Interest #5:
City of Interest #6:
City of Interest #7:
City of Interest #8:
City of Interest #9:
City of Interest #10:
State/Prov of Interest:
Min. # of Bedrooms:
Min. # of Bathrooms:
Price Range:
Minimum Maximum
Monthly Payment:
Down Payment:
The ideal home for me
would be (describe):
Are you interested in:




Financing
(A current credit report may or may not be obtained)
(We will use this information to qualify you for a loan through a traditional lender or through our owner financing program)

Social Security Number:
Date Of Birth:
Date Of Employment:
Job Title:
Employer Name:
Date Of Residence:
Gross Monthly Income:
Monthly Rent/Mortgage:
Housing Status:
Checking Account:
Savings Account:
Marital Status:

Owner Information

Property Address 
Address:
City:
State/Prov:
Zip/Postal Code:
County:

Owner Information
Name 1:
Address:
City:
State/Prov:
Zip/Postal Code:

 Contact Information
Home Phone:
Work Phone:
Mobile Phone:
E-mail Address:
Receive SMS Notifications:

Property Information

Property Type:
Square Feet:
Year Built:
# Bedrooms:
# Bathrooms:
# Stories:
Current Value:
Value Method:
Auction Date:
What would be the least you would accept if we could close within the next 7 days or a date of your preference?

Garage:
Pool:
Lot Size:
Waterfront:

Property Listed:
For How Long:
List Price:
Condition:
List Of Repairs:
Reason For Selling:
How Did You Hear About Us?

Mortgage Information

1st Mortgage
Lender:
Loan Balance:
Interest Rate:  
Monthly Payment:
Age of Loan :
Payments Current:
Amount In Arrears:
Other Liens/Payments
HOA Fees:
Condo Assoc Fees:
Special Assessments:
Property Taxes:
1sts Lien Name:
1st Lien Amount:
2nd Lien Name:
2nd Lien Amount:

2nd Mortgage/HELOC
Lender:
Loan Balance:
Interest Rate:  
Monthly Payment:
Age of Loan:
Payments Current:
Amount In Arrears:

3rd Mortgage/HELOC
Lender:
Loan Balance:
Interest Rate:  
Monthly Payment:
Age of Loan (Yrs):
Payments Current:
Amount In Arrears: