Sell your house "as is" at a fair price on the date of your choice...
*
Name
:
Address:
City:
State:
Zip Code:
*Home Phone:
Cell Phone:
Other Phone:
Fax:
*Email:
Best time to contact you:
Anytime
Early Morning
Late Morning
Lunchtime
Afternoon
Evening
General Information
Why are you selling?:
When would you like to close?:
Is the house currently vacant?:
Yes
No
Property Information
How many bedrooms?:
1
2
3
4
5
6
How many bathrooms?:
1
1.5
2
2.5
3
3.5
4
What is the approximate square footage?:
What is the type of construction?:
Does the house need repairs?:
Yes
No
If repairs are needed, please explain what they are:
Financial Information
What are you asking for the house?:
If we were to have the house appraised, what do you think it would appraise for?:
Are you offering any terms?:
What is your loan balance?:
What is your payment?:
Can you sell us your house for the total balance of your loan(s)?:
Yes
No
If not, how much cash do you need right now?:
If you take some cash now, (shown above) how much will you need later to complete this transaction?:
Would you like to hear other creative ways we could buy your home?:
Yes
No
Marketing
How did you hear about us?:
Postcard
Letter
Street Sign
Personal Refferal
Newspaper Ad
Post-It Note
Vehicle Sign
Other
Additional Comments: