Contact Information |
| *Required Fields are Marked with an Asterisk(*) |
| How did you hear about us: |
| *Name: |
| *Email Address: |
| Home Phone: |
| Work Phone: |
| Cell Phone: |
| Best Time to Call: |
| Please enter your current address below |
| Address: |
| City: |
| State: |
| Zip Code: |
*Do you need to sell your home quickly?
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| *Why are you selling? |
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| How soon do you need to move? |
Property Information |
| *Property Address: |
| *City: |
| *State: |
| *Zip Code: |
| *County: |
| *Subdivision: |
| *Bedrooms: |
| *Bathrooms: |
| Square Feet: |
| *Stories/Floors: |
| *Garage: |
| *Basement: |
| Year Built: ex. 2003 |
| *Lot Size/Acres: |
| When did you purchase this house (year)? |
| *Current Condition: |
| Describe any repair or maintenance issues? |
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| What is the estimated cost of these repairs? |
| Is anyone currently living in the house? |
| *How long has the property been for sale? |
| *Is the house currently listed with a real estate agent? |
| If yes when does the listing expire? |
| If no, has the house been previously listed? |
Additional Information |
| *What is your asking price? |
| *How did you determine this price? |
| *If we were to have your house appraised, how much do you think it would be worth? |
| Mortgage Information |
| 1st Mortgage | 2nd Mortgage | 3rd Mortgage |
| Balance: | Balance: | Balance: |
| Payment: | Payment: | Payment: |
| Interest Rate: | Interest Rate: | Interest Rate: |
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| Amount Behind: | Amount Behind: | Amount Behind: |
| Annual property taxes: |
| *Are your property taxes and insurance included in your monthly mortgage payment? |
| *Do you pay homeowner/condo association dues? If so how much per year? |
| *Would you sell your house for what you owe on it? |
| *Would you be willing to receive any of your equity, if applicable, in the form of monthly payments? |
| *Would you be willing to sell your house by allowing us to take over your monthly mortgage payments? |
| *If we were able to buy your house in 7 days or less, what is the least you could accept? |
| Questions or Comments: |
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