FORECAST REPORT FORM

Thank you for your interest in Karlin Daniel & Associates, we very much look forward to hearing from you. Please complete the form below in as much detail as possible. Alternatively you can reach us at (800) 329-0036.

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Name *
Address
City
State	Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist. of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip
Phone *
E-mail *
Are you the owner of record?	---Select--- Yes No
When did you acquire the subject property?
What is the street address and city?
Since you purchased the property, have you made capital improvements?	---Select--- Yes No
If yes, Please detail the improvements made since your purchase.
Do you occupy the subject property?	---Select--- Yes No
If no, is it rented?	---Select--- Yes No
If rented, what is the current income or potential income?
Is your property vacant?	---Select--- Yes No
If yes, for how long?
Is your property currently listed with a real estate broker and being advertised “For Sale”?	---Select--- Yes No
If yes, for how much?
How long has it been available or for sale?
What is the current year property tax appraisal?
What is/are the reasons you would like to sell?
Do you have any debt on the property?	---Select--- Yes No
If yes, how much do you owe?
Are you facing foreclosure or any other legal proceedings with respect to the subject real estate?	---Select--- Yes No
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