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Document: Lead Information Sheet

HOME OWNER INFORMATION SHEET

Name_____________________________________________________________

Address____________________ City/State____________________________

Length of Ownership ______ Phone # _________________________________


Mortgage Bal ________________________ PMT_________________ %_______

Mortgage Bal ________________________ PMT_________________ %_______


Lender 1________________ Mths Behind ____ AMT________________________

Lender 1________________ Mths Behind ____ AMT________________________


Taxes (yearly) _____________________ Past Due _________________________

Other Liens_________________________________________________________

Purchase Price ____________ Year__________ RE-FI___________

Worth Today? ______________ How???(Appraisal)____________________

Bed/Bath____________________ Constr Type_____________________________

Garage_______ Basement_____________ Pool ____________________

Porch/Deck ________ F/P__________________ SQ FT________________________

Repair _______________________________________________________________
(Heating, Roof….)

WHAT WOULD YOU TAKE TODAY FOR YOUR HOME, ALL CASH? _________

NOTES:______________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

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