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Sell your house - Tell Us About Your House For a Quick Sale

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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
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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C O N F I D E N T I A L
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