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Twin Cities Rent 2 Own - Seller Questionnaire

*Required Fields

Customer Information Section

Please enter the following information about yourself.
First Name *
Last Name *
Home Phone *
Work Phone
Cell Phone *
Email *
Preferred Method of Contact *
Best Time to Contact
Street Address *
City *
State *
Zip Code *

Property Information Section

Please enter the following information about the property you would like to Sell.
Property Street Address *
Property City *
Property State *
Property Zip Code *
Property Type *
Estimated Property Value *

Existing Loan Information

Please enter the following information about your existing loan(s).
Existing 1st Mortgage Information
Balance *
Original Term *
Years Left
What is your monthly payment? *
Do you currently escrow for taxes and Insurance? *

Existing 2nd Mortgage Info or Home Equity Line of Credit (if applicable)
2nd Mortgage Balance
2nd Mortgage Original Term
2nd Mortgage Years Left
What is your current 2nd mortgage payment?

Other Information

Please complete the following information to better assists us with our marketing efforts.
How Did You Hear About Us? *
Please Specify if Radio or Search Engine
If Referred by another professional, please note name and company
By Checking This Box You Agree to Be Contacted by a Representative from or