Buy My House!

In order to better serve you, and offer you a FAST solution, the following information is necessary. (Your privacy is respected.)

Contact Information:

Name:
Daytime Phone Number:
Evening Phone Number:
Cell Phone Number:
Best Time To Call:
E-mail:

Property Information:

What is most important to you?	Please Select: Relief from payments Fast Sale Fair Price Cash for my equity I just want out!
Property Address:
City:
State:
Zip Code:
County:
Is the house listed for sale with a Real Estate Agency?	Yes No
If Yes, how much is it listed for:
If listed with a Real Estate Agency, how long has it been listed?
How many bedrooms?	1 2 3 4 5+
How many bathrooms?	1 1.5 2 2.5 3+
Square Feet (approximately):
When was home built?
How long you have owned the house:
Is the house lived in now?	Yes No
How soon do you want to sell?
What is the approximate value?
How did you determine the value?
Do you have a mortgage on this property?	Yes No
First Mortgage balance:
Second Mortgage balance (if any):
Monthly payment including taxes and insurance
What is your interest rate?
Is your interest rate fixed or adjustable?	Fixed Adustable N/A
Will you sell your home for what you owe?	Yes No N/A
Are you behind on any payments?	Yes No N/A
If yes, please detail:
What is your asking price?
How did you determine your asking price?
How motivated are you to sell?	Very Motivated Somewhat Motivated Just Curious
I am:	Flexible on Terms Not Flexible on Terms
Please describe exactly why you are selling. (It is important that you be as detailed as possible.)
Any other information about the house (new roof, new siding, pool, major repairs needed, etc.):
How did you find our site? Please be specific: (i.e.: ebay, Yahoo, etc.)

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