Fast Response Form

Tell us about you...
Your name:
E-mail address:
Daytime phone:
Evening phone:
Best time to call:
Tell us about the property...
Property street address:
Property city and state:
Property Zip Code:
The Property is currently:
Bedrooms:
Baths:
Square footage:
Age of House:
Garage:
What is the general condition of the house?
Why are you selling the house?
Please describe any needed repairs in this box
Check all that apply
Wood Floors	Formal Dining Room
Carpeting	Game Room
Tile	Fireplace
Finished Basement	Deck
Unfinished Basement	Swimming Pool

Privacy Fence	Other Fence
Brick	Vinyl Siding
Steel Siding	Wood Siding
Other Siding	Stucco

Central Heat	Central Air
Floor Furnace	Wood Stove
Septic Tank

Crawl Space	Slab
Storage Shed	Shop
Tell us about the numbers...
How much do you feel the property is worth?
How did you determine the value?
1st mortgage balance:
1st mortgage payment amount:
Does the 1st mortgage payment include taxes and insurance?
Are there other mortgages on the property:
What is the combined balance of all mortgages?
What is the combined monthly payment on all mortgages?
Please tell us about any other liens and/or other title problems that may affect this property by typing an explanation here.

Are all mortgage payments current? If payments are current click here
If payments are not current, how far behind are they?

Have you received a foreclosure notice:
Has a foreclosure sale date been set:
Sale date:
Just a couple more questions...
Are you willing to sell the house for what you owe on it?
If No, If someone were to offer you all cash and could close quickly, what is the least you could take?
When would you like to close?
Is your property currently listed with a real estate agent/broker?
If property "is" listed, when does your listing expire?
Are you currently in bankruptcy?
How did you hear about us?
Please provide any further comments that you feel are important in the box below...
Comments