| Property Address: |
|
| City: |
|
| County: |
|
| zip: |
|
|
.... |
| Number of bedrooms: |
|
| Number of bathrooms: |
|
| Approximate square footage: |
|
| Special rooms and features that
would add to value (please comment freely) |
|
|
|
| Original price: |
|
| Year you purchased the home: |
|
| Balance on existing 1st mortgage: |
|
| Balance on existing 2nd mortgage: |
|
| Balances of any other liens: |
|
|
.... |
| Your estimate of value: |
|
| Your estimate is based
on: |
|
|
|
|
|
|
|
|
.... |
|
Your
Contact Information
|
| Your
Name: |
|
| Email
Address: |
|
| Daytime
Telephone: |
|
| Other
Telephone: |
|
| Street
Address: |
|
| City/State/Zip: |
|
