Negotiation Info Form

Please fill in the form to give us an idea regarding your current situation.

Owner Information

Property Copy Address
Address:
City:
State:
Zip Code:
County:

Owner Information
Name 1:
Name 2:
Address:
City:
State:
Zip Code:

Contact Information
Home Phone:
Work Phone:
Mobile Phone:
E-mail Address:

Property Information

Property Type:
Square Feet:
Year Built:
# Bedrooms:
# Bathrooms:
# Stories:
Current Value:
Value Method:
Are you in foreclosure?	YesNo
Date foreclosure was filed:
Auction Date:
Would you sell the property for what you owe?	YesNo
If not foreclosure what is the situation?

Garage:
Pool:
Basement:
Occupant:
Lot Size:
Waterfront:

Property Listed:
For How Long:
List Price:
Condition:
List Of Repairs:
Reason For Selling:
Ideal Close Date:
How Did You Hear About Us?
Other:

Mortgage Information

1st Mortgage
Lender:
Loan Balance:
Interest Rate:
Monthly Payment:
Age of Loan (Yrs):
Payments Current:
Amount In Arrears:

Other Liens/Payments
HOA Fees:
Condo Assoc Fees:
Special Assessments:
Property Taxes:
Current Rent:
1sts Lien Name:
1st Lien Amount:
2nd Lien Name:
2nd Lien Amount:

2nd Mortgage/LOC
Lender:
Loan Balance:
Interest Rate:
Monthly Payment:
Age of Loan (Yrs):
Payments Current:
Amount In Arrears:

3rd Mortgage/LOC
Lender:
Loan Balance:
Interest Rate:
Monthly Payment:
Age of Loan (Yrs):
Payments Current:
Amount In Arrears: