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Owner's Information:

Please print and fax this form to:  615.777.9311

    First: Last:
Home Phone #:
Cell Phone #:
Work Phone #:
Email:


Property Information:
    Address:
Zip:
County:
Subdivision:
Why are you selling?:

How many bedrooms:
How many bathrooms:
How many square feet:
Basement?:
Is there a garage:
Central Air/Heat:
Is the Exterior:
How big is the lot?
When was the house built?
How long have you owned this house: Yrs mos
Is it currently listed with a Realtor?

Does the house need any repairs?
If yes, please explain:

Existing Mortgage Information
    Approx. 1st Loan Balance:
Monthly Payment:
Is it:
Does payment include taxes and insurance?
Approx. 2st Loan Balance:
Monthly Payment:
Is it:
Are payments current?
if not, how far behind?
When is the best time for us to call?
How did you hear about us?



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