Questionnaire #9 - Homeowner

Please enter the information for any house you own or have titled in your name. Please include property in your name that rent to others or live in. 

This Form cannot be submitted until the missing fields (labelled below in red) have been filled in
Questionnaire 9 - Real Estate
Name*
Phone*
Email Address*
Do you have a home?
YES, please continue with the questionnaire. NO, Submit form. Thank you
Do you want to keep this home?
YES NO
Your home address include zip code
The home's description square feet bedroom bath, etc
Current Home Value
First Mortgage Balance
First Mortgage Lender Name and Address with zip code
Account number & Date Incurred
Second Mortgage Balance, if any
Second mortgage Lender Name and Address with zip code
Account number & Date Incurred
Third Mortgage Balance, if any
Third mortgage Lender Name and Address with zip code
Account number & Date Incurred

PLEASE HIT SUBMIT

THEN NEXT QUESTIONNAIRE

BROKER INFORMATION 

Rica Jo Ann Gilmore, Broker, Realtor®  

• Graduate, REALTOR® Institute
• ​Accredited Buyer's Agent
• ​Seller Representative Specialist​ 
• ​REALTORS® Commitment to Excellence​
• ​Military Relocation Professional
• Seniors Real Estate Specialist®
• Short Sales and Foreclosure Resource
• Pricing Strategy Advisor
• Home Measurement Specialist
• ​Real Estate Negotiation Expert​
• ​Certified Team Specialist​

Current Affiliates  SeanCo 2019-present, Rica Realty @ 2023, Rica Realty LLC @2023 

Previous Affiliates HCLA, LLC 2018-2023 Process My Papers @ 2006-2018

All rights reserved.  

The listings data displayed on this medium comes in part from the Real Estate Information Network, MLS  (REIN) and has been authorized by participating listing Broker Members of REIN for display. REIN listings are based upon Data submitted by its Broker Members, and REIN Therefore makes no representation or warranty regarding the accuracy of the Data. All users of REIN MLS database should confirm the accuracy of the listing information directly with the listing agent.

REIN and/or Rica J. Gilmore and information is protected under federal copyright laws. Federal law prohibits, among other acts, the unauthorized copying or alteration of, or preparation of derivative works from, all or any part of copyrighted materials, including certain complications of Data and information. COPYRIGHT VIOLATORS MAY BE SUBJECT TO SEVERE FINES AND PENALTIES UNDER FEDERAL LAW.

Information Deemed Reliable But Not Guaranteed

This website contains information related to law and is NOT LEGAL advice. It contents is for information only. If you need legal advice, please consult an attorney or act as your own.