| |
The only information we require on this form is your name and a way to contact you;
however, the more information you provide the better prepared we will be when we contact you.
Contact Information |
| |
* First and Last Name: |
|
| |
* Address of Property for Sale: |
|
| |
* City, State and Zip Code: |
|
| |
E-mail Address: |
|
| |
Daytime Phone with Area Code: |
|
| |
Evening Phone with Area Code: |
|
| |
Cell Phone with Area Code: |
|
| |
* Are You The Owner? |
|
| |
If "No", Please list the Owners Name: |
|
| |
How Quickly Do You Need to Sell? |
|
| |
Reason for Sale: |
If "Other" please specify:
|
| |
Property Information |
| |
* Property Type: |
|
| |
* Property or Home Condition: |
|
| |
* Estimated Value: |
|
| |
How Much Would You Sell For If You Could Get a Fast
"All Cash" Sale Now? |
|
| |
Square Footage (if known): |
|
| |
Number of Bedrooms: |
|
| |
Number of Bathrooms: |
|
| |
Stories: |
|
| |
Age of Home: |
|
| |
Pool? |
|
| |
Is the Property Currently Occupied? |
|
| |
Are You Living in the Property? |
|
| |
Is the Property listed with a Realtor? |
|
| |
Mortgage Information |
| |
1st Mortgage Balance Estimate: |
|
| |
Monthly Payment: |
|
| |
Does first mortgage payment include: taxes and insurance? |
|
| |
How Many Payments Are You Behind? |
|
| |
Do You Have a 2nd Mortgage or Home Equity Loan? |
|
| |
2nd Mortgage or Equity Loan Balance Estimate: |
|
| |
Other Notes or Comments
Please Let Us Know How You Heard About US
|
| |
|
|
