Sell Us Your House
SELLER REQUEST FORM

 Please provide as much of the following information as you can.


  How did you hear about us?
 
Contact Information
Are You The Owner? Owner's Full Name:
  Contact Telephone: Alt Telephone:
  E-Mail Address: Fax:
  Property Address:
  City:     State: Zip:
 
Property Information
Property type: How long owned?
  Bedrooms: How old is the house?
  Bathrooms: What is the construction?
  Garage: What kind of roof?
  Pool: Square Footage:
  Property  occupied? Listed with Realtor?
  With quick close and immediate cash payment, what is the lowest offer you would accept?
  List any problems or repairs noticed:
  Why are you selling?
 
Mortgage Information
1st Mortgage Balance: Monthly Payment: Interest Rate: %
 
Does first mortgage payment include taxes and insurance?
 
If Taxes is yes, how much annually?
 
If Insurance is yes, how much annually?
  2nd Mortgage Balance: Monthly Payment: Interest Rate: %
 
Notes: