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Sell your house - Tell Us About Your House For a Quick Sale
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 address
Your Street
Number
Your Street
Name
Your City
Your State
Your Zip
Country
*
What's your situation?
Why are you selling?
Property Information
What kind of repairs or
maintenance does the
house need?
Property Type
Single Family House
Duplex
TriPlex
4-Plex
Multi-Family
Commercial Property
Land
Other
Multiple / Combo
Townhome
Condo
Patio Home
Approx. Square Feet
Year Built
Bedrooms
Bathrooms
Garage?
Yes
No
Is it Vacant?
Yes
No
Price And Terms
1st Mortgage
2nd Mortgage
*
Balance
$
$
Monthly
Payment
$
$
*
Are Payments
Current?
Yes
No
Yes
No
If Not How Far
Behind?
$
$
Total Lien Amount
(if more than 1,
list each separately)?
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)
*
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
*
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.?
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