Home Seller Information Form Address: City/STIZip Email Subdivision Phone t ‘CLIHmiWrk Phone 2 ‘CLIHmirk ‘Another person we can contact - Name: Phone: WEN J9]18S Home _ Info ‘Same as above? VIN: Address: City/STIZip Subdivision’ Property Type: Sq.Ft.___Stories__Bd___Ba____Lv__Din__CarportiGarage_ Pool: AbovelBelow/None Year Built ‘Age of Roof. Type of Foundation: Is it a Mobile Home or Manufactured home?: Occupied: __Utilities On/Off__Lot Size: OutBidgs: Asking Prices. Min Price §. Tax App Value § ARVS, Who is in Home: Rent: $. ‘When is Lease Up? Condition: Repairs Needed Repair: Listed? YIN With whom: Expiration Date: Mortgage _Info ‘Other People on DeediLoan: Current on Mortgage: YIN When was Last Payment Made: Months Behind on Payment: ‘4siMortgage Company: ‘Mortgage Balance: § arInterest Rate Payment: § ieArrears: §, Include Escrow? ¥ N tatLoan #. Type 4st loan Type: Fixed / Adjustable “Term: 15 yr/30 yr / Other__ 4st loan Type: FHA/ConviHELOC. Loan in Place since: (Age of loan) 4st loan - Other notes: 2na Mortgage Company; 2na Mortgage Balance: $ 2na Interest Rate: Payment:$____nwArears:$________ Include Escrow? YN 2na Loan # Type 2nd loan Type: Fixed / Adjustable ‘Term: 15 yr/ 30 yr / Other__ 2nd loan - Other notes: 2nd loan Type: FHA/Conv/HELOC. Loan in Place since: (Age of loan) Back Taxes Owed: ‘Additional Liens: Have you received Assistance from FHA?: Down Payment Assist when you purchased: YIN _ How much?: Who?: Taxes - Do you have a property tax lien or IRS lien?: YIN. Home Buyer Assistance Program (outstanding loan due at sale only) SSe1ppy Info Other Considering Bankruply VIN:___In Bankruptoy: YIN Chapter or Chapter 13 Is the home included in the Bankrupty: Y/N___ Bankruptcy Expiration Date: Divorce: Considering a Divorce: Have you filed: YIN Relationship with Spouse/Ex-Spouse: Good/Bad, Describe: Wasils this a homestead: YIN Ifit was and isn't now, since when: When do you want to sell: Do you need another home? Describe: Reason for Selling/Situation’ Marketing/Lead Tracking Date, Time, ‘amipm How did you find us :9}eq TN AMERICAN Ce