Your Contact Information
*First Name:
*Day Phone:
include area code
*Cell Phone:
Best Time To Reach You:
SelectMorningAfternoonEveningNightAnytime
*How did you
hear about us?
SelectSign on VehicleBillboardPost CardStreet SignBusiness CardFlyerWord Of MouthRadio AdTelevisionSearch EngineOther-Specify:
Specify:
Your Situation
*Do you need to
sell fast?
SelectYesNo
*How soon do
you need to move?
*Why are you selling?
*
Property Information
*Property Address:
Street address
City
State
Zip Code
*Currently
Occupied?
*How long has the
property been for sale?
*Listed with
Realtor?
*If listed, when does
listing expire?
*# of Bedrooms:
1234567
*# of Bathrooms:
11.522.533.544.555.56
*Garage Spaces:
Select01 Car2 Car3 car4 Car
*Square Footage:
*Property Description:
Repairs? Good shape? Special amenities?, etc.
Price & Terms
*Asking Price?
*Property Value:
*Is the property "free
and clear" or do you
have a mortgage ?
SelectMortgageFree and Clear
Mortgage
Balance(s):
Interest Rate(s):
Total Monthly
Payment(s):
*Does the monthly
payment include
taxes & insurance?
Are the payments
current?
*If payments not
current, how many
months behind?
Will you sell your
house for what
you owe on it?
*If we can buy your house in 7 days or
less, what is the least that you will accept?
Miscellaneous Information
*Questions or Comments: