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First Name: Last Name: Address: Address 2: City: State: Zip: Phone Number: E-Mail Address: Complete Property Address: List complete details of property(Bedrooms,baths,basement,garage,pool,sq feet,1,2 story,ranch,any other details, ect.): Describe your mortgage(2nd mortgage?,principle,taxes,insurance,ect.?): What is your asking price and will you sell it for what you owe?: What will you do if I can't help you?(Don't hold back,Be specific): If I can give you full retail price, can you wait 12-24 months for it if I pay your mortgage in the meantime? YesNo Estimated cost of repairs (if any) $0-500$500-1000$1000-5000$5000-10,000$10,000+ Is The House Vacant? YesNo Are there any other liens against the property? YesNo How much do you think your property will appraise for? $0-50,000$50,000-74,999$75,000-99,999$100,000-124,999&125,000-149,999$150,000-174,999$175,999-199,999$200,000-224,999$225,000-249,999$250,000-274,999$275,000-299,999$300,000-324,999$325,999-349,999$350,000-374,999$375,000-399,999$400,000-424,999$425,000-449,999$450,000-474,999$499,999-500,000$500,000+