For A Quick Sell, Complete The Form Below - Without Cost or Obligation
Your email address:
Your phone number:
(555-555-5555)
How did you hear about us?
Web Search
Neighborhood Sign
Business Card
Referral
Other
To Prevent Foreclosure
Moved Into New House
Job Loss/Downsized
Job Relocation
Divorce
Inherited Property
Frustrating Tenants
Other (list in Comments)
Why are you selling?
Yesterday!
Within Next 30 Days
Within Next Few Weeks
Sometime Next Month
No Rush
How
quickly
do you need to sell?
Absolute Latest Move-Out Date?
( xx / xx / xx )
Property address:
Zip:
City:
State:
Neighborhood:
Yes
No
Owner of property?
Single Family
Duplex
3 Units
4 Units
4+ Units
Property Type:
1
2
3
4
5
6
# of bedrooms:
1
1.5
2
2.5
3
3.5
4+
# of bathrooms:
(list bathrooms that have both toilet & sink)
750 - 1000
1001 - 1250
1251 - 1500
1501 - 1750
1751 - 2000
2001 - 2500
2500+
(per unit)
Approx. Sq Footage:
Yes
No
Is the house vacant?
0
1
2
2+
Garage:
(holds how many cars)
None
Unfinished
Partially Finished
Finished
Basement:
Brick
Siding
Wood
Stucco
Other
Exterior Construction:
List repairs needed:
Years owned:
Asking price:
How much would you sell for if
you could get a fast sale now:
Best guess on amount owed:
Amount in arrears:
(please include any outstanding tax bills)
Amount of monthly payment:
(payment = principle, interest, taxes, insurance)
Would you consider us taking
over your payments if a
straight sale was not
possible:
Yes
No
Adjustable (ARM)
Fixed
If so, is your current
mortgage rate adjustable or
fixed:
Yes
No
Currently listed with an agent?
How long has the house
been on the market?
Comments (write 'n/a' if none):
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