PROPERTY
INFORMATION SHEET
In order to expedite an evaluation, please fill out as much of this questionnaire as you can.

PERSONAL INFORMATION

Name:*
E-mail:*
Number:*
Case Number:*
Petitioning to Be (Select One) :*

PROPERTY ADDRESS

Street Address:*
City:*
State:*
Zip*

PROPERTY TYPE & CONDITION

Property Type ( Check One) :*
Property is Currently Occupied By ( Check One) *
Number of Units If Multiple Units:*
Property Condition if Vacant ( Check All that Apply ) :*
Which Solution(s) Are you Interested in? ( Check All that Apply ) *

PROPERTY FINANCIAL INFORMATION

Is the Property in Foreclosure? ( Check One ) *
Is there a Reverse Mortgage on the Property? ( Check One ) *
What is the Monthly Income on the Property? :*
What Kind of Debt is There on the Property? *
Please fill out the following table to determine debt.:?*