Short Sale Pre-Qualification Form

Contact Information

First Name*

Last Name*

Email*

Phone#*

Current Address

Property Information

Property Ownership

Primary Residence

Investment Property

Street Number*

Street Name*

Suite Number

City*

Zip Code*

Po Box

State/Providence*

Country*

1st Lenders Name*

Approximate Loan*
Balance On 1st

2nd Lenders Name
If Applicable

Approximate Loan
Balance On 2nd

3rd Lenders Name
If Applicable

Approximate Loan
Balance On 3rd

Are 2nd or 3rd A
Line Of Credit?

Other Liens/Loans

Do You Have A
Foreclosure Sale Date?*

If Yes, What is
The Date?

Date Last Mortgage
Payment Made*

Do You Have
Mortgage Ins?

How Did You Here
About Us?

Questions

Have You Recently
Spoke With Your
Bank About Your
Options?*

Have You Spoken With Another Real
Estate Agent In
Regards About A
Short Sale*

On A Scale Of 1-10
1 being low and 10
being high! Please Rate Your Interest
In This Process*

Additional Comments?

(6199581212)

(259000)

90% Close Rate Of Short Sale Listings!