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Short Lead Form
Type of Property:
Single Family
Multi Family
Condo
Town House
Condition:
Uninhabitable
Poor
Fair
Very Good
Excellent
Occupancy:
Tenant Occupied
Owner Occupied
Vacant
Number of Bedroom:
Number of Bathroom:
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Next Step
Mortgage Payments:
HOA Monthly Dues:
Reasons for Selling: (Select all that apply)
Code Violations
Foreclosure
Tired Landlord
Low Equity
Liens
Job Loss
Inherited
Uninhabitable
Relocating
Retirement
Underwater
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Next Step
Preferred Closing Date
ASAP
2-3 Months
4 + Months
First Name:
Last Name
Email
Phone
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