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Sell your house - Tell Us About Your House For a Quick Sale

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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
 
*Your Street Number
 
*Your Street Name
*Your Zip
 
*Your City
 
*Your State
* What's your situation?
Why are you selling?
Property Information
Same as my home address above
Street Number
 
Street Name
 
Zip
 
City
 
State
Is the house currently listed
with a ®Realtor?
  Yes  No
If Yes, when does the listing expire?
  mm/dd/yyyy
What kind of repairs or
maintenance does the
house need?
 
*Property Type
Approx. Square Feet
 
Age of Home
Bedrooms
Bathrooms
Pool
Yes  No 
Garage?
Yes  No 
Is it Vacant?
Yes  No 
Price And Terms
   1st Mortgage  2nd Mortgage  3rd Mortgage
 Balance  $  $  $ e.g. 5000 (not 5,000)
 Monthly
Payment
 $  $ e.g. 5000 (not 5,000)
Interest Rate     %   %   %
Adjustable
Mortgage?
   Fixed  Adj     Fixed  Adj     Fixed  Adj 
Are Payments
Current?
  Yes  No   Yes  No   Yes  No
If Not How Far
Behind?
 $  $  $ e.g. 5000 (not 5,000)
How much are
your total annual
property taxes?
 $ e.g. 5000 (not 5,000)
Are your property taxes
and insurance included in
your monthly mortgage
payment?
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?
Would you sell your house
for what you owe on it?
  Yes  No  Undecided
 Would you be willing to sell
your house by allowing us to
take over your monthly
mortgage payments?
  Yes  No  Undecided
* If we were able to buy
your house in 7 Days or less,
what is the least you could
accept?
e.g. 5000 (not 5,000)
How did you hear about us?
C O N F I D E N T I A L
    



 
 
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