Your Information
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First Name: *
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Last Name: *
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Email Address: *
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Day-time Phone:
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Evening Phone:
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Address Street 1:
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Address Street 2:
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City:
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Zip Code:
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(5 digits)
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State:
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Why are you selling?: *
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When do you need to sell?:
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Property Information
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Same as my home address above
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Address Street:
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City:
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Zip Code:
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(5 digits)
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Is the house currently listed with a ®Realtor?
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yesno
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Is it Vacant?
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yesno
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What kind of repairs or maintenance does the house need?:
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How much do you think these repairs will cost?
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$ e.g. 5000 (not 5,000):
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Approx. Square Feet:
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# of Bedrooms:
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Price and Terms
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1st mortgage
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Balance:
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Monthly Payment:
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Interest Rate:
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Adjustable mortgage ?
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FixedAdjustable
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Are payments current? :
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yesno -- If not, How far behind ?
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How much are you asking us to pay for your house? *
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$ e.g. 5000 (not 5,000):
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How did you determine your asking price?: *
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If we were to have your house appraised, how much do you think it would be worth?: *
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$
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Would you sell your house for what you owe?
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yesnonot decided yet
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Would you be willing to receive any of your equity, if applicable, in the form of monthly payments ?
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yesnonot decided yet
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Would you be willing to sell your house by allowing us to take over your monthly mortgage payments?
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yesnonot decided yet
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If we were able to buy your house in 10 Days or less, what is the least you could accept?:
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$
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How did you hear about us?:
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