Or, if you would like to tell us about your home, please contact us either by phone or e-mail. We’ll get back to you as soon as possible.
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Name: * Contact Number: *
Best Time to Call: * Email Address: *
Street Address: * City: *
State: * Zip Code: *
Country: * Subdivision Name (if any):
1st Mortgage Balance * 1st Mortgage Payment * 1st Mortgage Holder *
2nd Mortgage Balance 2nd Mortgage Payment 2nd Mortgage Holder
Do you have an equity line on this house?
Balance Payment Holder
Are the payments current? If no, how far behind? Yes No
Is the house attached to a bankruptcy? Yes No
How did you arrive at that number? Real Estate Agent Comparables Guess Appraisals Tax Assessment
Is your home: Occupied Unoccupied
Does your home need repairs? Yes No
If “yes” what kind of repairs?
Square footage: Lot Size: Number of Bedrooms:
Number of Baths: Age of roof: Kind of Roof:
Sewer Septic
Ranch 2-story Split Foyer Split Level
All Brick Brick Siding Wood Siding Vinyl Siding Stucco
Formal Living Room Formal Dining Room Fireplace Ceiling Fans Fenced Pool
Crawl Space Slab Basement
Finished Unfinished
It sounds like a nice place, what are you selling?
Is it listed with an agent? Yes No
If yes, when does the listing expire?
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