Short Sale Inquiry

First Name

Last Name

Street Address

City or Town:

State: State:AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIlllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWyomingCANADAOTHER

Email

Phone Number

Can we text you at this number? Can we text you at this number? Yes No

Do you have more than 1 lien/ loan on your property Do you have more than 1 lien/ loan on your property Yes No Not sure

Are you currently behind on mortgage or lien payments? Are you currently behind on mortgage or lien payments? Yes No Not yet

Do you live in the house? Do you live in the house? Yes, currently living in house No, have already moved out (vacant) No, investment property -occupied No, investment property- vacant

How long have you owned your home? How long have you owned your home? 0-3 years 3-6 years 6-10 years 10 plus years

Anything else you would like to share at this time...