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  • Short Sale Request Form

    Your privacy is important to us. Your information will not be shared, sold or exchanged with anyone else.


    1. First Name (required)

    2. Last Name (required)

    3. Your Email (required)

    4. Phone Number (required)

    5. Property Ownership?
     Primary Investment

    6. Property Occupancy?
     Occupied Vacant


    1. Current Address Line 1 (required)

    2. Current Address Line 2

    3. Current City (required)

    4. Current State(required)

    5. Current Zip (required)


    1. Same as Address Above? yes

    2. Property Address Line 1

    3. Property Address Line 2

    4. Property City

    5. Property State

    6. Property Zip


    1. 1st Lender Name (required)

    2. Is 1st Loan a FHA or VA Loan?

    3. Approximate 1st Loan Balance (required)

    4. 2nd Lender Name (if applicable)

    5. Approximate 2nd Loan Balance

    6. 3rd Lender Name (if applicable)

    7. Approximate 3rd Loan Balance

    8. Are any loans Equity Lines of Credit (HELOC)?
     1st 2nd 3rd

    9. Are all your loans original purchase money loans? If not, which were refinanced and was it/were they a cash out refinance?

    10. Are there any other liens (IRS, etc)?

    11. Do you have Mortgage Insurance?

    12. Have you recently spoken with your bank about your options?

    13. Have you spoken to another agent or real estate team in regards to a Short Sale?

    14. What is most important to you in this transaction? Or any other comments?

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