I have zero debt, and my credit score is 760+.

I only know that liens are generally taxes/debts that have not been paid on a property and the title is who owns the property, but I've heard titles can be more complicated than it sounds. 

You really need a good PM or lawyer in your state to assist you in get the possession of the property. 

How do you manage to invest in real estate when already dealing with medical school debt?

So I keep getting these debt consolidation letters in the mail and usually I just toss them not giving a second thought.

Of course put on 5% + REFI debt.

I hate debt in all forms there is no good debt to me... other than construction loans 

I continue to charge the tenants until I have possession, which includes keys.What you could do if you choose to and which is probably better in your case is to complete the walk through and then let them leave. 

BUT If I if I buy a place for $100K, force appreciation to $200K and refinance it for $200K aren't I assuming an extra $100K in debt?

I’d like to pull out a HELOC on my property to pay down some outstanding debt and perhaps close my first rental deal.