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Short Sale Application
Homeowner First Name
*
Homeowner Last Name
*
Property Street Address
City
State
*
--Select Here--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
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Indiana
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Louisiana
Maine
Maryland
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Michigan
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South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Contact Email
*
Contact Phone
*
Estimated Current Value
Notice of Default filed?
Foreclosure Sale Date (dd/mm/yr)
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--Month--
Jan
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Sep
Oct
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Dec
--Year--
1990
1991
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2015
2016
2017
2018
2019
2020
1st Mortgage Lender
Loan Type (conv, FHA, or VA)
--Loan Type--
Conv
FHA
VA
1st Mortgage Loan Balance (estimate)
Last Payment Date
--Month--
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
--Day--
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--Year--
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2nd Mortgage Lender
2nd Mortgage Loan Balance (estimate)
Last Payment Date
--Month--
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
--Day--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--Year--
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
3rd Mortgage lender
3rd Mortgage loan balance
Other Liens?
Refinance
Cash Out Amount?
HOA current? If not $$ owed?
Property Taxes current? If not, $$ owed?
Repairs $$?
Explain reason behind on payments
Is the Property currently listed with a Realtor?
Real Estate Agent's Name
Agent's Phone #
Property Listed at $$?
How long on market?
Listing Active or Expired?
Additional Comments:
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