Short Sale Background Form

* First Person on Title

Second Person on Title

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* Email Address

* Subdivision

* This is a

Single Family Home

Condominium

Townhome

Duplex or Other Multi Family Unit

*

Briefly describe the property (bedrooms, baths, purchase price, condition, etc.)

* How long have you owned the property?

* Is the property currently listed? With whom? If so, what price? How long has it been on the market at that price?

* Is the property your primary residence, a second home, or an investment property?

Primary Residence

Second Home

Investment Property

*

If it is a primary residence, how long do you intend to continue occupying the property?

*

Have you made arrangements to vacate the property once there is an offer?

* If not your primary residence, is the property currently occupied? By whom?

*

Is there a lease in place? If so, what are the terms?

Loan Information

First Loan

* Lender/Bank

* Loan Number

* How much is owed on the first mortgage?

* Do you have a contact that you have been speaking with at the bank?

* Bank Contact Information

2nd Loan

Lender/Bank

Loan Number

How much is owed on the second mortgage?

Do you have a contact that you have been speaking with at the bank?

Bank Contact Information

Other Information

* Are you behind on any of these loans? If so, how many payments on each loan?

* Have you spoken to the bank(s) about doing a short sale?

* Do you have a foreclosure date pending? If so, when?

* Do you know of any liens on your property other than the mortgages?

* Have you received any notices on the property from lenders, the sheriff, or any attorneys? If so, explain.

* Have you ever or are you currently considering filing for bankruptcy?

* What are the circumstances that have lead you to need to do a short sale? Please elaborate.

* Indicates Response Required