Western Kentucky Property Investments

Submission Form

The first step in allowing our company to assist you is to provide us with the necessary information regarding your property. Please answer all of the following questions. This will enable us to do a quick evaluation of your particular situation to determine what route we need to take to efficiently and effectively assist you. Privacy is of the utmost importance. Rest assured that all your information is held strictly confidential by Lacy Ventures. We do not sell or share your personal information. A representative from our company will review your submission and contact you to discuss the best options for your particular situation.

Name:
Address:
City:
State:
Zip Code:
Phone Number:
Cell Phone :
E-mail Address:

Are you the current owner ? Yes No

Reason for selling this property


Property Type:
Condition:

Value of your property:

Tax assessed value of your property:

Asking price:

Square footage of living space:

Lot size or acreage:

Number of bedrooms:
Number of bathrooms:

How many levels/stories:

Basement: Yes No Full or Half? Full Half

Garage: Yes No Numer of Bays:
Attached: Yes No

Age of property:

How long have you owned the property?:

Is the property currently occupied?: Yes No
Is the property listed with a realtor?: Yes No

First mortgage balance:
Monthly Payment:
Does the monthly payment include taxes and insurance?: Yes No
If not, how much is the taxes and insurance?:
Are you behind on payments?: Yes No
If so, how many payments behind are you?:

Amount of 2nd mortgage or equity loan (if applicable):
Monthly Payment:
Are you behind on payments ?: Yes No
If so, how many payments behind are you?:

Amount of 3rd mortgage or equity loan (if applicable):
Monthly Payment:
Are you behind on payments ?: Yes No
If so, how many payments behind are you?:

Please list any other financing where the property you are submitting is used as collateral:


Are there any other liens against the property? (tax liens, mechanic liens, etc.)


Are you currently a party to a lawsuit? Yes No

Are you currently in discussion with an attorney or representative where as you could be a party to a lawsuit in the next 60 days?
Yes No

Additional comments/questions: