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Velda Miller
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If you have it, what is the HUD Case Number? ### - ###### Required
Property Address you are bidding on: Required
City, state, and zip code of the property you are bidding on Required
Bid Amount Required
Purchaser is applying for: Required
Purchaser is: Required
Buyer is requesting HUD to pay up to ____ % toward buyer closing costs Required
If Seller does not accept this bid, Seller Required
May hold such offer as a back-up to accepted offer   May NOT hold such offer as a back-up to accepted offer   
Are you or any close relatives associated with HUD, AMs, FSMs, the Listing Broker, Appraiser, or Closing Agent? Required
Yes   No   
Primary Purchaser Required
Individual with SSN   Business with EIN   ITIN/US Govt ID   
SSN/EIN/ID Number (Only the last 4 digits, call Velda with entire number at 325 725 9854) Required
Will Primary Purchaser be living in the property? Required
Yes   No   
Company Name - if applicable Required
First Name Required
Middle Initial Required
Last Name Required
Street Address Required
City Required
State Required
Zip Code Required
Email Required
Phone Required
Is this a cell phone? Required
Yes   No   
Will another buyer be purchasing this property with you? Required
Yes   No   
Add another Purchaser's information -- same info as you did for Primary Purchaser Required
Buyer Select Closing Agent - Indicate if you have a preference by Filling in this information Required
Yes I want this Closing Agent to handle our Closing (enter info in next section)   No I do not have a preference - Please contact me to help determine who will be the Closing Agent   
My Choice for Closing Agent Required
 
 

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