Tell us about you... * Your First Name:   * Your Last Name:   * E-mail Address: Day Time Phone: (Please include area code)   Evening Phone: (Please include area code)   Best Time To Call:   Please selectMorningAfternoonEvening  Tell us about the property... Property street address:   Property city:   Property state:   Please selectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Property Zip:   The Property is currently:   Please selectOwner OccupiedOccupied by RenterVacant No. of Bedrooms:   <1123455+ No. of Baths:   <1123455+ Square Footage:   Year Built:   Garage:   Please selectOne Car AttachedOne Car DetachedTwo Car AttachedTwo Car DetachedCarportNoneOther What is the general condition of the house:   Please selectExcellentGoodFairPoorUGLY! Please describe any needed repairs in this box:    Check all that apply Wood Floors  Formal Dining Room   Carpeting  Game Room   Tile  Fireplace   Finished Basement  Deck   Unfinished Basement  Swimming Pool   Privacy Fence  Other Fence   Brick  Vinyl Siding   Steel Siding  Wood Siding   Other Siding  Stucco   Central Heat  Central Air   Floor Furnace  Wood Stove   Septic Tank  Crawl Space   Slab  Storage Shed   Shop     Tell us about the numbers... How much do you feel the property is worth:   How did arrive at this number:   1st mortgage balance:   1st mortgage payment amount:   Does the 1st mortgage payment include taxes and insurance:   YesNo 2nd mortgage balance:   2nd mortgage payment amount:   Are there other mortgages on the property:   YesNo What is the combined balance of all mortgages:   What is the combined monthly payment on all mortgages:   Please tell us about any other liens and/or other title problems that may affect this property by typing an explanation here:   Are all mortgage payments current: If payments are current click here   YesNo  If payments are not current, how far behind are they...  1st mortgage $ Amount Behind:   # of Payments Behind:    2nd mortgage $ Amount Behind:   # of Payments Behind:    Other mortgage $ Amount Behind:   # of payments:   Have you received a foreclosure notice:   YesNo Has a foreclosure sale date been set:   YesNoUnknown Sale Date:    Just a couple more questions... Is your property currently listed with a real estate agent/broker   YesNo If property is listed when does your listing expire:   Are you currently in bankruptcy:   YesNo How Much will you take for a QUICK SALE of your home:   How did you hear about us:   Please selectReferral from AttorneyReferral from CPAReferral from FriendReferral from RealtorLocal NewspaperPostcardLetterInternet search engineLink from other Internet siteOther Please provide any further comments that you feel are important in the box below: