Quick Response FormPlease complete the Quick Response Form to the best of your knowledge and we will return a prompt reply.For quicker service, please call us direct…(310) 948-6880*Rest assured that your information is confidential and will not be shared.Tell us About YouName* First Last Email* Best Phone #Best Time To CallMorningAfternoonEveningTime ZoneESTCSTMSTPSTHSTProperty DetailsAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country The Property is CurrentlyOwner OccupiedRenter OccupiedVacantNumber of Bedroom12345Number of Bath12345Square FootageAge of HouseGarage1 Car Attached2 Car Attached3 Car Attached1 Car Detached2 Car Detached3 Car DetachedCarportDriveway OnlyStreet ParkingWhat is the current condition of the house?Excellent (no repairs needed)Good (needs cosmetic repairs)Fair (needs remodel)Poor (not inhabitable)Please list any needed repairs in this comment box Check All That Apply Wood Floors Tile Carpet Laminate Formal Dining Room Bonus Room Finished Basement Unfinished Basement Stucco Brick Aluminum Siding Vinyl Siding Wood Siding Other Siding Privacy Fence Other Fence Central Heat Central Air Floor/Wall Furnace Wood Stove Fireplace Swamp Cooler Septic Tank Swimming Pool Slab Raised Foundation Roof Asphalt Shingle Roof Clay Tile Roof Concrete Tile Wood Shingle Other Tell Us About The Numbers1st Mortgage Balance1st Mortgage Payment AmountDoes the 1st mortgage payment include taxes and insurance?YesNo2nd Mortgage Balance2nd Mortgage Payment AmountDoes the 2nd mortgage payment include taxes and insurance?YesNoAny other mortgages on the property?YesNoMonthly HOA PaymentWhat is the combined monthly Payment on all mortgages?Are there any other liens and/or issues that may affect this property? If so, please explain. Please Complete This Section1st MortgageDollar Amount BehindNumber of Payments Behind2nd MortgageDollar Amount BehindNumber of Payments BehindsOther MortgageTotal Dollar Amount BehindNumber of Payments BehindHave you received a Notice of Default?YesNoHas a Foreclosure Sale date been scheduled?YesNoSale Date Last Few Questions...Is your property currently listed with a realty company?YesNoIf your property is currently list with a realty service, what is the listing expiration date?Are you currently in bankruptcy?YesNoHow did you hear about us?Classified AdPostcardLetterInternetSignReferralOthersReferral SourcePlease provide additional information that you feel is important for us to know CaptchaEmailThis field is for validation purposes and should be left unchanged. Thank you for taking the time to complete our Quick Response Form. A company strategist will contact you within 48 hours (excluding holidays). If you don’t receive a call, please call us immediately as we do not want to solely rely on the internet.
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