Please complete this form and we will contact you within 24 hours

First Name: Last Name:

Is there anyone else on title besides you?

Names of others on title:

Email:

Phone:

Alternate Phone Number:

Property Address:
(Address of the property you are selling.)

City: State:

Zip Code:

Do you have a different mailing address? YesNo

Alternate Address:
(if necessary)

Alternate State:

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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