Home Owner's Short Sale Contact Form

Personal Information:				Property Details:
First Name				Type		Single Family Multi Family Condo/Townhouse Farm Land (all types) Vacation/Resort
Last Name				Bedrooms		1 2 3 4 5 6
Email				Baths		1 2 3 4
Home Phone				Garage		1 2 3 4
Office Phone				Year Built
Cell Phone				Square Footage
Street Address				Living Space
City				Upgrades or special features about the home?
State		--Select-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming
Zip				How many Mortgages?		0 1 2 3 4
				How many months behind are you?		0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
				Other important information about the mortgage(s) property?
In order to qualify for a Short Sale, you need to have a ‘valid hardship’. Can you tell me what got you into your current financial situation?
Hardship:
Who are your lenders?
1st Lender:				Amount: $
Are you current on your mortgage?		Yes  No
If no, how many months are you behind?		0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Will you be able to catch up on those payments?		Yes  No
2nd Lender:				Amount: $
Are you current on your mortgage?		Yes  No
If no, how many months are you behind?		0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Will you be able to catch up on those payments?		Yes  No