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First Name:

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Last Name:

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Address:

 

City:

 

State:

 

Zip/Postal Code:

 

Day Telephone:

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Evening Telephone:

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Email:

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Property Request Information

 

Are you relocating?

 

Yes  No

     

Location of this property:

   

Address:

 

City:

 

State:

 

Zip/Postal Code:

 
     

Type of Home:


 

Single Family  Condo/Townhouse  Mobile
Land Only

     

Number of Bedrooms:

 

1  2  3  6+

Number of Bathrooms:

 

4+

Number of Stories:

 

3+ 

Age of Property:

 

New  1-3  4-6  7-9  10+  (in years)

Square Footage:

 

Lot Size:

 

First Loan Amount:

 

Second Loan Amount:

 

Additional Information:

 

Reason for evaluating this property?

 

Buying  Selling 

   
   

Security Code:

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