Please complete the property data and seller data sections below and fax or email the two documents on this page for a deal evaluation. Please note until ALL three items are received the deal will NOT be evaluated. Our fax is 904-379-4868 and our email address is: service@lossmithelp.com

 

 

 

 

 

Subject Property Data and Seller - Owner Information  

Please complete the evaluation form below regarding the "numbers" for the deal. If you need assistance with the categories send an email to us at: service@lossmithelp.com and request our "completing the evaluation worksheet".

 

   

 


 

 

 

 

 Please complete the participant payment form. If you have not yet signed our fee agreement please send an email to service@lossmithelp.com and request our Fee Agreement.

 

 

 
 
Property Copy Address
Address:
City:
State:
Zip Code:
County:
Owner Information
Seller 1:
Seller 2:
Address:
City:
State:
Zip Code:
Contact Information
Client Name:  (your name)
Client's Phone: (your phone)
Client's Mobile: (your cell)
E-mail Address: (your email) 

Property Information

Property Type:
Square Feet:
Year Built:
# Bedrooms:
# Bathrooms:
# Stories:
Current Value:
Value Method:
Are they in foreclosure?
Date foreclosure was filed: select date
Auction Date: select date
Would they sell the property for what they owe?
What is the amount the sellers are requesting from the transaction? 
Garage:
Pool:
Basement:
Occupant:
Lot Size:
Waterfront:
Is Property Listed:
For How Long:
List Price:
Condition:
List Of Repairs:
Reason For Selling:
Ideal Close Date: select date
How Did You Hear About Us?
Promo Code:
Mortgage Information
1st Mortgage
Lender:
Loan Balance:
Interest Rate:
Monthly Payment:
Age of Loan (Yrs):
Payments Current:
Amount In Arrears:

Other Liens/Payments
HOA Fees:
Condo Assoc Fees:
Special Assessments:
Property Taxes:
Current Rent:
1sts Lien Name:
1st Lien Amount:
2nd Lien Name:
2nd Lien Amount:
2nd Mortgage/HELOC
Lender:
Loan Balance:
Interest Rate:
Monthly Payment:
Age of Loan (Yrs):
Payments Current:
Amount In Arrears:
3rd Mortgage/HELOC
Lender:
Loan Balance:
Interest Rate:
Monthly Payment:
Age of Loan (Yrs):
Payments Current:
Amount In Arrears:

 

 
 
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