Remember, Short Sales are a difficult processs however, by taking the time to fill out our pre-qualification form, we can grade your success ratio and let you know if you actually stand a good chance of closing yours. Remember, this is the first step in the process, but its here that as they say; "the rubber meets the road."

Special Note: All pre-qualifications that are submitted are treated with the utmost care and are totally confidential. Your file will be assigned a special consultant that specializes in this area along with an agent that works as part of the team to negotiate and streamline your closing so you can rebuld your life.

* Required fields
Name *
E-mail Address *
Owners Name (On the mortgage) *
Property Address *
Home Phone Number
Cell Phone Number *
Work Phone Number
Last Four Digits of Primary Account Holder *
Last Four Digits of Secondary Account Holder
How Did You Here About Us?
Referred By An Agent?	Yes No
If The Short Sale Is Referred, Will They Be Keeping The Listing	N/A Yes No
Referring Agents Name (If Referred)
Was The Home Previously On The Market?	Yes No
If So, How Long?	Please Choose 4 Months or Less 4-6 Months 6-8 Months 8-12 Months 12-16 Months 16-18 Months 18-24 Months 24+ Months
Listed Price While On The Market?
MLS #
Mortgage Company #1 *
Type of Loan? *	FHA Conventional VA Other
Loan #
Primary Name on Loan #1
Mortgage Company #2
Loan #
Primary Name on Loan #2
How Much Is Owed On The First? *
How Much Is Owed On The Second?
Do You Have A Copy Of Your Most Recent Mortgage Statement?	Yes No
Is The Mortgage Past Due?	Yes No
If So, How Long?
Is There A Foreclosure Date Set?	Yes No
Do You Have Copies Of The Foreclosure Paperwork?	Yes No N/A
Is There A Bankruptcy Or Other Liens On The Property?	Yes No
If There Are Other Liens, Tell Us About Them
Is There An HOA Involved?	Yes No
If So, How Much Do You Owe?
Name of HOA?
Hardship Information	Please Choose Divorce Death Medical Job Transfer Loss of Income Increase of Expenses Other
Short Description of Hardship
Do You Want To Stay In Your Home?	Yes No
What Will You Do After You Sell?	Please Choose Live in an Apartment Move in with family or friends Other
Name Of Person Filling This Form Out

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