| Student Information |
| * Your Company Name: |
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| * Your Contact Information: |
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| * Phone Number: |
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| * Email Address: |
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| Customer Information |
| * Borrower #1 Name: |
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| Borrower #2 Name: |
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| Marital Status: |
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| * Address: |
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| * City: |
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| * State: |
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| * Zip: |
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| Property Information: |
| * Approx. Appraised Value |
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| * Address: |
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| * City: |
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| * State: |
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| * County: |
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| * Zip: |
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| * Bedrooms: |
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| * Bathrooms: |
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| Garage: |
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| * Estimated Repair Costs: |
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* Would they sell the
property for what they
owe? |
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* If no, if you pay all cash
and close quickly,
what is the least they would except? |
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| If Tenant, rental info. |
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| Mortgage Information: |
| * Mortgage #1: |
| * Lender: |
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| * Estimated Balance: |
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| * Months Behind: |
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| Auction Date: |
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| Mortgage #2: |
| Lender: |
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| Estimated Balance: |
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| Months Behind: |
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| Auction Date: |
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| Questions: |
| * Exit Strategy: |
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| * Is the property in a MARKETABLE
area: |
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| * Do you need a realtor to list your
property: |
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| Referred by and extra information: |
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