Property Disclosure Form for Short Sale
Property Information
Property Address
City
State
ZIP Code
Seller Information
Seller Name
Phone Number
Email
Disclosure Information
Have you received any offers on this property?
Yes
No
If yes, provide details
Are there any known issues with the property (structural, electrical, plumbing, etc.)?
Yes
No
If yes, describe the issues
Are there any liens or unpaid assessments on the property?
Yes
No
If yes, explain
Short Sale Details
Current Mortgage Holder
Estimated Amount Owed
Has lender approved the short sale?
Yes
No
Pending
Additional Comments
Certification
Seller Signature
Date