Please tell us about your property and we will contact you shortly.
ALL OF THIS INFORMATION REMAINS STRICTLY CONFIDENTIAL

 
Contact Information  
Name:
Email:
Day Phone:
Evening Phone:
Best Time to Call
   
Your Situation  
Do you need to sell your house fast? yes no
What is your situation? Why are you selling?
How soon do you need to move?
   
Your Property Information  
Address:
City:
State:
Zip Code:
Home Style
Stories/Floors (e.g. 1 or 2)
How many bedrooms?
How many bathrooms?
Garage
How many square feet in the home?
When was the home built?
Basement
What month and year did you purchase this house?
What is the current condition of your property?
What kind of repairs and maintenance does the house need?
How much do you think these repairs will cost? $
How long has the property been for sale?
   
Price and Terms  
How much are you asking us to pay for your house? $
How did you determine your asking price?    
If we were to have your house appraised, how much do you think it would appraise for? $
Do you own the home free and clear?
Or do you have a Mortgage		 Free and Clear Mortgage
   
1st Mortgage  
Balance $
Monthly Payment $
Interest Rate    Fixed ARM
Payments Current? Yes No
If No, how far behind? $
   
2nd Mortgage  
Balance $
Monthly Payment $
Interest Rate    Fixed ARM
Payments Current? Yes No
If No, how far behind? $
   
   
How much are your annual property taxes? $
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? $
   
Would you consider selling your house for what you owe? Yes No Undecided
   
If we were able to buy your house in 9 Days or less,what is the least you could accept? $
   
How did you hear about us?
Do you have any questions or comments you would like to share with us?

ALL OF THIS INFORMATION REMAINS STRICTLY CONFIDENTIAL