Contact Information

First Name:

Last Name:

Day Phone Number:

Evening Phone Number:

Best time to call:

Email:

Property Address :

Address:   Apt #:

City: State:   ZIP:

County:  

No. of Bedrooms:  

No. of Bathrooms:  

No. of Stories:

Square Footage:

Lot Size (sq-ft):

Year Built:

Material (CBS/Framed/Stucco):  

Do you need to sell your house fast?:  Yes   No

How fast do you need to sell:

Why do you need to sell? (you can check more than one option): 
Owe more than the house is worth
Behind in payments  
To avoid foreclosure
To pay off debts
Divorce
Tired of tenants / don't want to be a landlord
House needs too many repairs
House is vacant
Inherited an unwanted house
Relocation
Other     

Does your house need repairs:  Yes   No

Brief description of repairs:

Estimated Repair Cost: $

Is somebody living in the house:   Yes   No

If yes, check one:  Owner  Tenant

Is your house listed with a realtor:   Yes   No

How long have you been trying to sell your house:

Are there any outstanding loans:  Yes   No

Are there outstanding leins or judgements that need to be paid: Yes No

What are your total monthly payments on all loans:
$

What is your balance on all loans?: $

Are the loans current:  Yes   No

If behind, how months:

How much is your house appraised for: $

What is your asking price:  $

Would you be open to a Trade: Yes No

Would you sell your house for what you owe?:
Yes
No
Don't know

Would you sell us your house by letting us take over your payments:
Yes
No
Don't know

If we were to offer a quick, all cash offer and a fast closing, what is the best price you could give us:  $

Please share how you found us:
Our business card
Received our letter
Somebody referred you to us
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Followed a link on another web site
Craigslist
      For Sale Services Wanted
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Hanging Banner
Billboard

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