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For fast service please complete this form as fully as possible now!

We will call you, once our qualified house buyer's have reviewed your information.

Your Contact Information
*First Name(s) *Day Phone
*Last Name *Evening Phone
*Email Cellular/Pager
    *Best Time to Call
Your Situation
*Do you need to sell your house fast? Yes No
*What's your situation? Why are you selling?
*How soon do you need to move?
Your Property Information
*Address
*City *State *Zip
*County
*Bedrooms *Stories/Floors
*Bathrooms *Garage
*Square Footage *Basement
*Year Built *Lot Size/Acres
*How long have you owned 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? $
*Is there anyone living in the house?   
*How long has the property been for sale?   
*Is the house currently listed with a ®Realtor? Yes No
          *If Yes, when does the listing expire?   
          *If No, has the house been previously? Yes No
Price & 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 be worth?		 $
    1st Mortgage   2nd Mortgage   3rd Mortgage
*Balance $ $ $
*Payment $ $ $
*Interest Rate   % *Fixed *Adj   % Fixed Adj   % Fixed Adj
*Payments Current? Yes No Yes No Yes No
*If No, how far behind? $ $ $
*How much are your total 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 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?		 $
*How did you hear about us?  

Do you have any questions or comments you would like to share with us?

Additional Information

Reason for Selling?

Prefered Closing Date?

Month:                       Date:                             Year:

                    

Have you received a foreclosure warning letter?* If yes, what date was it received?

Yes:    No:                                               Month:                       Date:                             Year:

                                                                                           

Has a trustee sale date been set? *  If yes, when?

Yes   No                                              Month:                       Date:                             Year:

                                                                                           

Is this house attached to bankruptcy?*

Yes   No

Thank you for taking the time to share your home with us. If you have any problems with submitting this form, please contact us and let us know.

 

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