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Sell your house - Tell Us About Your House For a Quick Sale
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C O N F I D E N T I A L
Your Contact Information
*
Your First Name
*
Your Last Name
*
Your Email
Day-time Phone Number
*
What's your situation?
Why are you selling?
When do you need to sell your house?
Property Information
Street Number
Street Name
Zip
City
State
...
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Is the house currently listed
with a ®Realtor?
Yes
No
If Yes, when does the listing expire?
January
February
March
April
May
June
July
August
September
October
November
December
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
mm/dd/yyyy
If No, has the house been previously
listed?
What kind of repairs or
maintenance does the
house need?
How much do you think
these repairs will cost?
$
e.g. 5000 (not 5,000)
Property Type
Single Family House
Duplex
TriPlex
4-Plex
Multi-Family
Commercial Property
Land
Other
Multiple / Combo
Townhome
Condo
Patio Home
Approx. Square Feet
Year Built
Bedrooms
Bathrooms
Garage?
Yes
No
Is it Vacant?
Yes
No
Price And Terms
1st Mortgage
2nd Mortgage
3rd Mortgage
Balance
$
$
$
e.g. 5000 (not 5,000)
Monthly
Payment
$
$
$
e.g. 5000 (not 5,000)
Interest Rate
%
%
%
Are Payments
Current?
Yes
No
Yes
No
Yes
No
If Not How Far
Behind?
$
$
$
e.g. 5000 (not 5,000)
Total Lien Amount
(if more than 1,
list each separately)?
*
If we were to have your
house appraised, how much
do you think it would be worth?
$
Would you sell your house
for what you owe on it?
Yes
No
Undecided
Would you be willing to
receive any of your equity, if
applicable, in the form
of monthly payments?
Yes
No
Undecided
Would you be willing to sell
your house by allowing us to
take over your monthly
mortgage payments?
Yes
No
Undecided
*
If we were able to buy
your house in 7 Days or less,
what is the least you could
accept?
$
e.g. 5000 (not 5,000)
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