Sell Your House - Tell Us About Your House For a Quick Sale.

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Sell Your House - Tell Us About Your House For a Quick Sale.

Thank you for completing the information below. We will provide you with our options to buy your home and make you a preliminary offer within 24-48 hours.

If you have a mortgage on your home please complete required mortgage information so that we can properly qualify your home and provide you with an offer.

We respect your privacy. Privacy Policy

C O N F I D E N T I A L

Your Contact Information

*Your First Name

*Your Last Name

*Your Email

*Day-time Phone Number

* What's your situation?
Why are you selling?

*When do you need to sell your house?

Property Information

*Street Number

*Street Name

*Zip

*City

*State

*Is the house currently listed
with a ŽRealtor?

Yes No

If Yes, when does the listing expire?

mm/dd/yyyy

If No, has the house been previously
listed?

* What kind of repairs or
maintenance does the
house need?

How much do you think
these repairs will cost?

$ e.g. 5000 (not 5,000)

*Bedrooms

*Bathrooms

*Garage?

Yes No

Carport?

None 1 car 2 car

*Is it Vacant?

Yes No

*Fenced Yard?

Yes No

Price And Terms

	1st Mortgage	2nd Mortgage
Balance	$	$
Monthly Payment	$	$
Interest Rate	%	%
Term of Loan in Years?
Years Remaining on Loan?
Adjustable Mortgage?	Fixed Adj	Fixed Adj
Are Payments Current?	Yes No	Yes No
If Not How Far Behind?	$	$
Liens on Property?	Yes No	Yes No

Do you pay Homeowner
/ Condo Association dues?
If so, how much per year?

$ e.g. 5000 (not 5,000)

How much are you asking
us to pay for your house?

$ e.g. 5000 (not 5,000)

How did you determine
your asking price?

*If we were to have your
house appraised, how much
do you think it would be worth?

*Would you sell your house
for what you owe on it?

Yes No Undecided

* Would you be willing to
receive any of your equity, if
applicable, in the form
of monthly payments?

Yes No Undecided

* Would you be willing to sell
your house by allowing us to
take over your monthly
mortgage payments?

Yes No Undecided

*How did you hear about us?

C O N F I D E N T I A L

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