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First Name
*
Last Name
*
Phone
Email
*
Property Information
Property Type
*
Please select your property type
Single Family Home
Mobile Home
Condo or Townhouse
Commercial
Vacant Lot
How many years did you own the property before selling it?
*
Please select an option.
Less than one year
1-2 years
More than 2 years
Property Street Address
*
Property City
*
Property State
*
Please select an option
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DE
DC
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GA
HI
ID
IL
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IA
KS
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ME
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Option 52
Property Zip Code
*
Property Description (size, amenities, condition of structures, etc.)
*
Current Estimated Property Value
*
Note Information
Date of Sale
Sales Price
Cash Down Payment
Original Note Amount:
*
Interest Rate
Term of Note (in years)
Payment Amount
Date of First Payment Made
Number of Payments Made So Far
Number of Late Payments
Number of Remaining Payments
Is there a balloon payment?
Yes
No
If yes, when is it due?
What is the amount of the balloon payment?
Who occupies the property?
Please select an option
Buyer of Property
Tenant
Vacant
Credit of Buyer/Borrower
Please make a choice
Unknown
Higher than 680
600-680
Lower than 600
Are there any loans or liens against the property?
Yes
No
If yes, please explain:
Other information about the property, the note, or the payer:
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