Real Estate Worksheet - Columbus, Ohio
Real Estate Worksheet
|Head of Household: | |
|Address: | |
|1. |Fair Market Value of Real Estate |$ | |
| |Required documentation: Tax bill or settlement / closing statement or listing information from Realtor to include estimate of |
| |closing (ex. net sheet) |
|2. |Estimated Selling Cost |$ | |
| |Required documentation: Estimate of closing costs from Realtor |
|3. |Mortgage Balance |$ | |
| |Required documentation: Mortgage balance statement from lender |
|4. |Estimated Net Proceeds if Sold (#1 less #’s 2 and 3) |$ | |
|Based on information I supplied, the above is an estimate of value for Real Estate I own or have sold: |
| | | |
|Applicant / Tenant Signature | |Date |
PC-E19
Rev. 12-09
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