leasespecialist.com If you would prefer to submit this information by phone, you can send me an e-mail by completing this form. Either way I will be more than happy to assist you. To return to the Home page click here. CONTACT INFORMATION Name: Home Phone: FAX: Work Phone: E-Mail Address: PROPERTY INFORMATION Property Location: Address: State: City: Zip Code: Type Of Property: Asking Price $: Current Value $: Minimum Selling Price $: Comments - Please include why you are selling the house: Single Family Residence Condo Townhome Manufactured Home Mobil Home Owner Occupied Rental MORTGAGE INFORMATION Mortgage: 1st 2nd Wrap Expected Rent $: Credit Of The Payer ("A" is outstanding): A B C D Unknown Comments - Please include what condition the property is in:

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