Real Estate Agent Information Real Estate Agent's Name and Firm: __________________________________________________________________________ Real Estate Agent Cell Phone: _________________________ Office _________________
Owner Information Owner Name(s) Best Time to Contact: _______________ (We won’t contact your client until we have talked with you.) Home Phone: ______________________ Cell Phone: ____________________________ Work Phone: _______________________ Hardship: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Property Information Property Address: City: ______________________________ State: __________ Zip: ____________ Bed/Bath: ________________ Year Built: ___________SF:__________ Lot Size: __________ Vacant?_____________ Listed? _______ MLS # ___________________ How long? _________ Listing Price: ________________ Ugly [ ] Unconventional/Obsolete [ ] Victim [ ] Please Explain: _________________________________________________________________________ _________________________________________________________________________ Value of Home Current: ________________ Mint Condition: ____________ 30 Day Sale Price: ____________ Mortgage Information 1st Balance: _________________Lender: _____________________________ How far behind?______________ Loan Number: _______________________ PITI: ___________ Fixed [ ] Adjustable [ ] Foreclosure pending? ______________ 2nd Balance:_________________ Lender: _____________________________ How far behind? ______________ Loan Number: ______________________ PITI: ___________ Fixed [ ] Adjustable [ ] Foreclosure pending? ______________ 3rd Balance: _________________ Lender: _____________________________ How far behind? _____________ Loan Number: _______________________ PITI: ____________ Fixed [ ] Adjustable [ ] Foreclosure pending? _____________
Other Liens: _________________________________________________________________________ Anything Else We Should Know? __________________________________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________
Please print out and complete this form, then fax to 252-257-5823. Remember… we will call you before we contact your client the first time. We want to work with you.
Ron Taylor and Sons Auctioneering and Real Estate POB 1083, Louisburg, North Carolina 27549 252-257-4822 Toll Free 888-940-0642 Fax 252-257-5823