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Give Us Information About Your House

Fill in the form below as completely as you can and then press the "Submit" button. The more information you provide to us, the faster we will be able to respond and help you. All information will be held strictly confidential.

How did you hear about us?
First Name(s)      Last Name
Email (example you@email.com)
Day Phone ( ) -       Evening Phone ( ) -
Cell Phone ( ) -        Best Time to Call

Property Address
City State Zip Code
Subdivision (if any)
County
Mailing Address (if different)
Legal Owner(s)

Type Bedrooms   Baths  Stories/Floors
Basement
Year Built    Square Footage    Lot Size/Acres
Air Conditioning Central   Window Units Quantity
Garage    # of Cars

What is the reason you are selling?

How long have you owned this house?
Current condition of the property?
What kind of repairs/maintenance does it need?

Estimated cost for repairs? $
Anyone living in the house?
How long has house been for sale?
Is house currently listed with a Realtor? Yes   No
     If Yes, when does listing expire?
     If No, has house been listed before? Yes   No

How much are you asking for the house? $
How did you come up with your asking price?
What do you think the house would appraise for today? $

	1st Mortgage	2nd Mortgage	3rd Mortgage
Balance	$	$	$
Payment	$	$	$
Interest Rate	%	%	%
	FixedAdj	FixedAdj	FixedAdj
Payments Current?	Yes No	Yes No	Yes No
If No, how much behind?	$	$	$

How much are the property taxes? $ per year
Are taxes and insurance included in mortgage payment? YesNo
Amount of Condo or Homeowner Association fees (if any) $ per mo

When would you like to sell?
Would you sell your house for what you owe?	YesNoUndecided
Would you be willing to receive your equity,if any, in monthly payments?	YesNoUndecided
Would you sell by allowing us to take over your monthly mortgage payments?	YesNoUndecided

If we were able to buy your house in 7 days or less, what is the least you could accept? $

Any comments or questions?

Thank you for taking the time to provide us with your home information.
We will review it and contact you shortly.