Short Sale Pre-Qualification

Your Full Name	*
Property Address	*
City or Zip Code	*
First Mortgage	*
Second Lien
Other Liens
Loan Payments Current?	Yes No*
If no, how many payments are late?	*
What is the situation that caused you to miss or will cause you to miss your payments?	*
Have you spoken with anyone at the lender/lien holder’s office?	Yes No*
Who did you speak to?
In what Department?
What was discussed?
Are your real estate taxes escrowed?	Yes No*
If no, are they current?	Yes No*
Is there any legal action pending related to this property of which you are aware?	Yes No*
Are there any other liens that could affect the sale?	Yes No*
If yes, please explain
Are you currently working with an Attorney?	Yes No*
If yes, please provide name and contact information

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