Meridian Home Solutions, Inc., lease purchase protection, home evaluation, seller application

Home Evaluation, Please ensure full completion below and that all content is as accurate as possible. The Property Evaluation and Approval will be based on the information provided. By filling out this Worksheet, you are Not obligated to enroll in Lease Purchase Protection. The information provided will be kept confidential and will only be used for internal processing by Meridian Home Solutions, Inc.

Property Information

Property Address:

City:

State:

Zip Code:

Neighborhood:

County:

Style:

Exterior:

Bed(s):

Bath(s):

Approx. Sq ft:

Garage Space:

Yr. Built:

Approx. Acreage:

Parking Area:

Amenities

Current Status: Vacant Occupied

If Occupied, By Whom? Owner Renter Other,

If Occupied, is there an established moving date of residence: or ASAP

Is Property in Move-In Condition? Yes No

If No, please explain needed cleaning and/or repairs:

If there is cleaning and/or repairs, they can be completed by:

Is Property Currently Listed: Yes No

If No, Please estimate Property value: $

If Yes, Brokers Name: Brokers Phone Number:

Current Listing Price : Listing Date:

Upload photo(s) of your home:

Mortgage Information

			Fixed Variable
Name of Lender (1st Mortgage)	Loan Amount	Monthly Payment
	$	$

Name of Lender (2nd Mortgage)	Loan Amount	Monthly Payment	Fixed Variable
	$	$	Fixed Variable

Mortgage(s) Conditions: Current Delinquent Amount Due: $
If Delinquent, can Owner bring payments current before Buyer takes possession? Yes No
If No, please explain:

Owner Information

Primary Owner:	Secondary Owner:
Best Phone:	Alt. Phone:
Email:
Mailing Address:
City:	State:	Zip:

How did you hear about Lease Purchase Protection?

Have you spoken to someone? Yes No

If yes, who? Their Name:

*required