This is the ezREOhomes.com's referral form. If you know a FSBO property that you think we would like, send it in here. If we like what we see, we will give you $3 for each time you submit a form. If we purchase the property, we'll give you $500.

Referrer Information

1.

Referrer Name*

2.

Referrer Email

3.

Source*

Lead Information

4.

Owner's Name*

5.

Property Address*

6.

Phone Number*

Phone Number Alternate

7.

Asking Price*

8.

Estimated Price*

9.

Does it Need Repairs?

How Much in Repairs?

Mortgage Information

10.

First Mortgage

11.

Second Mortgage

Payments Current?

How Much in Arrears

Seller Information

12.

When Does Seller Want to Move?

13.

Bedrooms

14.

Bathrooms

15.

Area in Square Feet

16.

Lot Size

17.

Construction Type

What's the House Made Of?

18.

Central Heat/Air

	Yes
	No

19.

Garage

20.

Additional Stuff

Check All Items that Apply

	Carport
	Basement
	Refridgerator
	Range
	Dishwasher
	Microwave
	Pool
	Jacuzzi
	Vacant
	Occupied

21.

Additional Notes

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First Name*

Last Name*

Email Address*

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