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Short Sale Qualification Form – Henderson & Las Vegas Short Sale Assistance Form

Please complete this information so that we can help you avoid Foreclosure!


First Name: *
Last Name: *
Email: *
Street:
City:
State:
ZIP Code:
Home Phone:
Work Phone:
Cell Phone:
I am interested in:
Are you behind in payments? Yes

No
When was the last payment made?
Does your property belong to an HOA? Yes

No
If so are you behind in payments? Yes

No
What is the recurring fee amounts?
How many months behind?
Are there any SID/LID fees/assessments against the property? Yes

No
Have you received a Notice of Default? Yes

No
Have you received a Notice of Trustee Sale? Yes

No
Are you in the middle of a loan modification? Yes

No
Has your loan modification been rejected? Yes

No
Are you currently considering filing for bankruptcy? Yes

No
If so, do you plan on filing for bankruptcy after the short sale is completed or before? Yes

No
How many mortgages do you have against the property (including any, 2nd mortgages, HELOC’s, etc..)?
1st Mortgage Lender:
2nd Mortgage Lender:
Reason for default:

Additional Comments:

What is the most important to you about completing the short sale?

How did you hear about us?