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Property Information Form

Date *

Name *

First

Last

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Reason For Selling *

If we can agree on a price, terms, and assume responsibility for repair and maintenance would you consider a lease option? (Check One) *

1st Approximate Balance: *

Monthly Payments: *

2nd Approximate Balance: *

Monthly Payments: *

Is Payment PITI? (Check One) *

Is Payment Current? (Check One) *

Amount in Arrears: *

Asking Price: *

Comps: *

When Does Seller Want to Move? *

Is The House Listed With An Agent? *

Does The House Need Repairs? *

If so, what repairs are needed? *

House Description (How Many Bed / Bath) *

(Example: 3 bedrooms 2 bathrooms)

Single Family? *

Townehouse? *

Manufacture House? *