First Name: Last Name:
Is there anyone else on title besides you?
Names of others on title:
Alternate Phone Number:
(Address of the property you are selling.)
Do you have a different mailing address? YesNo
Alternate Zip Code:
How did you hear about us?
Are you selling the property for what you owe on it? YesNo
How much are you asking for the property?
How did you determine the price?
Is the property listed with a realtor? YesNo
Does the house need repair? YesNo
Please describe what repairs are needed:
Why are you selling?
When do you want to sell the property?
What type of property is it? Single Family2 flatcondoother
How many bedrooms?
How Many bathrooms?
Is there a garage? YesNo
If we had the house appraised, what do you think it would appraise for?
If we paid you all cash and closed on the date of your choice, what is the least you could consider?
How many mortgages are on the property?
What is/are the balance(s)on the mortgage?
What is the current mortgage payment(s)?
Does the payment include taxes and insurance? YesNo
What is the 2nd mortgage balance?
What is the 2nd mortgage payment?
Any liens or back taxes owed?
Is/Are the loan(s) current? YesNo
Does anyone live at the property? YesNo
How long have you owned this house?
Are you willing to take payments on your equity? YesNoNot sure, please explain
(Sell on terms, carry paper, etc.)
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