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O N F I D E N T I A L |
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Your Contact Information |
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*Your
First Name |
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*Your
Last Name |
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*Your
Email |
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Day-time
Phone Number |
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Evening
Phone Number |
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Your
Cell Phone |
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Fax |
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Your
Street Number |
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Your
Street Name |
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Your
Zip |
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Your
City |
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Your
State |
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* What's your situation?
Why are you selling? |
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Property Information |
Same
as my home address above |
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Street
Number |
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Street
Name |
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Zip |
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City |
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State |
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Is
the house currently listed
with a ®Realtor? |
Yes
No |
If Yes,
when does the listing expire? |
mm/dd/yyyy |
If No, has the house been previously
listed? |
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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? |
$
e.g. 5000 (not 5,000) |
Property
Type |
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Approx.
Square Feet |
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Age
of Home |
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Bedrooms |
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Bathrooms |
0
1
1.5
2
2.5
3
3.5
4
4.5
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Garage? |
Yes
No |
Carport? |
None
1 car
2 car
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Is
it Vacant? |
Yes
No |
Lot Size? |
small lot
large lot
over an acre
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Fenced Yard? |
Yes
No
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Style? |
Ranch
Split-Level
Post-Modern
Office Condo
Retail Strip Center
Office Building
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Number of Stories (without basement)? |
1 Floor
2 Floors
3 Floors
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Is there a basement? |
Yes
Unfinished
Partially Finished
Fully Finished
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Exterior Wall Finish? |
All Brick
Siding & Brick/Stone
All Siding
Stucco
Other
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Price
And Terms |
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*Total Lien Amount
(if more than 1,
list each separately)? |
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How
much are
your total annual
property taxes? |
$
e.g. 5000 (not 5,000) |
Are
your property taxes
and insurance included in
your monthly mortgage
payment? |
Yes
No |
Do
you pay Homeowner
/ Condo Association dues?
If so, how much per year? |
$
e.g. 5000 (not 5,000) |
*How
much are you asking
us to pay for your house? |
$
e.g. 5000 (not 5,000) |
*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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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) |
How
did you hear about us? |
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Enter the code: |
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| C
O N F I D E N T I A L |
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