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Home Information Form
Home Information Form
Name
*
First
Last
Phone Number
*
-
-
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
How long have you lived In the house?
*
Estimated value of your home?
*
If we offered you quick cash and closed quickly, what would be the minimum amount you would take for the house?
*
How much was the original loan for the house you are selling?
*
What is the current loan balance on your home?
*
What is your current monthly payment?
*
Does your payment include taxes?
*
Yes
No
Does your payment include insurance?
*
Yes
No
Do you have any outstanding loans?
*
Yes
No
Are the loans current?
*
Yes
No
Are you willing to sell the house for what you owe?
*
Yes
No
Are you willing to recieve your equity in payments?
*
Yes
No
Why are you selling?
*
How old is the house?
*
What type of construction is the house?
*
frame/siding
brick
block
other
What type of roof is on the house?
*
How many bedrooms?
*
How many bathrooms?
*
What is the approximate square footage of the house?
*
Comment
*
Does the house have a basement?
*
Yes
No
Is the basement finished?
*
Yes
No
Are there any Appliances being sold with the house, if so list:
*
Is the house vacant or occupied?
*
vacant
occupied
If occupied, when will it become available (date):
*
Does your house need repair?
*
Yes
No
In your opinion, what repairs are needed?
*
Are you listed with a Realtor?
*
Yes
No
How did you hear about us?
*
Submit