How did you hear about us?: Select OneNewspaperFlyerBusiness CardPostcardFriendRadioTVInternetBeen here beforeOther

First Name:

Last Name:

Day Phone:

Evening Phone:

Mobile Phone:

Email Address:

Residential / Rental Property Information

Address:

City:

State:

Zip Code:

Year Built:

How long have your owned the house:

Type of House: Select OneSingle StoryTwo StorySplit LevelTownhouseRowhouseCondoDuplexMulti-UnitOther

Bedrooms: Select One1 Bedroom2 Bedroom3 Bedroom4 Bedroom5 Bedroom6 BedroomOther

Baths: Select One11 1/222 1/23More

Size (SqFt):

Exterior Finish: Select OneBrickSidingOther

Type of Foundation: Select OneSlabPoured ConcreteBlockStoneOther

Type of Roof: Select OneAsphalt ShinglesTileRubberMetalOther

Is there a Garage? Select OneNoOne carTwo carMore

What is the Condition of the property? Select OneExcellentGoodNeeds minor repairsNeeds moderate repairsNeeds major repairs

Is the Property Occupied? Select OneYesNo

Is the Property Listed with a Realtor Select OneYes No

If Yes when does the listing expire?

Financial Information:

How much do you owe on the house?:

How much is the house worth and how did you arrive at the value?

1st Mortgage Balance:

1st Mortgage Payment:

Interest Rate:

1st Mortgage Holder:

2nd Mortgage Balance:

2nd Mortgage Payment:

Interest Rate:

2nd Mortgage Holder:

Do you have an equity line of credit on this property?

Total amount outstanding?

Payment:

Interest Rate:

Line of Credit Holder:

Are All the Payments Current? Select OneYesNo

If no please provide all detail:

Have you recieved a warning letter or Foreclosure Notice from your lender?: Select OneYes No

Is the house attached to a bankruptcy?: Select OneYes No

What is your Asking Price?:

How soon do you need to sell?:

Are you willing to sell your property with a lease purchase agreement?

Are you willing to sell your property for the amount you owe?

Is there anything else we should know about the property or your situation? Additional comments:

Rental Property Owners

How many properties do you want to sell?

How many units per property?

What are the rents?

What utilities do you pay?

Are the utilities turned on?

Is there a lock box on the door with a key?

Are there any code violations?

Is there off street parking?

Are there association fees? ($)

List any repairs needed:

Security code:   *

* indicates a required field