LLC

STOP - if you were referred here by your real estate agent, you must call us at 1-888-673-1110 ext 2 to submit your property. Do not fill out the form below if you were referred by your agent.

If you were not referred by your agent, just fill out the information below and you property meets our requirements, you'll have our offer within 24 hours. Be sure to fill everything out, as incomplete applications will not processed.

Application Part 2 of 2

Fill out each field. All fields are required. If you are not 100% sure of an answer, give it your best educated guess

First Name:

Last Name:

Primary Phone:

Email :

Is The Property Vacant?:

Yes No

Property Type:

Property address (property you wish to sell) :

What is the general condition of the property? :

When was the property built? :

When was the property last refininced? (purchase date or refinance date)? :

Who is the first lien holder? (name of mortgage company) :

Are there additional lien holders? (other mortgages?) :

Approximately how much is owed? (total of all liens) :

Is the property in default? :

When was the last payment made (what month,year?) :

Is there a foreclosure sale scheduled? :

Is the property currently listed with a Realtor? :

Notes :

Nr	Query	Error	Affected	Num. rows	Took (ms)
1	SHOW FULL COLUMNS FROM `users`		25	25	8
2	SELECT CHARACTER_SET_NAME FROM INFORMATION_SCHEMA.COLLATIONS WHERE COLLATION_NAME= 'latin1_swedish_ci';		1	1	1