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Short Sale Application


Homeowner First Name*
Homeowner Last Name*



Property Street Address
City



State*
Zip Code



Contact Email*
Contact Phone*



Estimated Current Value
Notice of Default filed?



Foreclosure Sale Date (dd/mm/yr)


1st Mortgage Lender
Loan Type (conv, FHA, or VA)



1st Mortgage Loan Balance (estimate)
Last Payment Date



2nd Mortgage Lender


2nd Mortgage Loan Balance (estimate)
Last Payment Date



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: