First Name

Last Name

Address of Property for Sale

City

State

Zip

Daytime Phone with Area Code

Evening Phone with Area Code

Cell Phone with Area Code

Email Address

Are You The Owner?
SelectYesNo

If No, who else is on the title?

How Quickly Do You Need to Sell?
SelectAs soon as possible2 to 4 Weeks2 to 3 Months3 t 6 MonthsNo big hurry

Reason for Sale
SelectDivorce or SeperationFinancial ProblemsForeclosureBankruptcyDeath in the FamilyProbateAvoid Realtor / Brokerage FeesTo Speed Up the Sales ProcessInheritanceNeed to Move FastProperty ConditionTenant ProblemsHealth IssuesUpsizingDownsizingOther

TYPE OF OFFER REQUESTED
SelectAll CashCash And TermsAll TermsDon't Know

Property Type
Single FamilyCondoTownhouseApartmentMobile HomeModular HomeFarm/RanchLand Only

Property Condition
SelectVery GoodGoodFairPoorTear Down

Are Property Taxes Current?
SelectYesNoOther

Estimated Value
SelectI Don't KnowLess than $50,000$50,000 - $75,000$75,000 - $100,000$100,000 - $150,000$150,000 - $200,000$200,000 - $300,000$300,000 - $400,000$400,000 - $500,000$500,000 - $1,000,000More Than $1 Million

How Much Would You Sell For If You Could Get a Fast Sale Now?

Would you consider payment terms?
SelectYesNoDon't Know

Square Footage (if known)
Select1500 sq. ft or Less1500 to 2500 sq. ft.2500 to 3500 sq. ft.3500 to 4500 sq. ft.4500 to 5500 sq. ft.More than 5500 sq. ft.I Don't Know the Amount

Number of Bedrooms
Select1 One2 Two3 Three4 Four5 Five6 SixMore Than 6 Six

Stories
SelectSingle - 1 One Story2 Two Story3 Three StorySplit Level

Age
SelectLess Than 3 Years Old3 to 5 Years Old6 to 10 Years Old11 to 15 Years Old16 to 20 Years Old21 to 25 Years Old25 to 30 Years Old31 to 40 Years Old41 to 45 Years Old46 to 50 Years OldMore Than 50 years Old

Pool
SelectYesNo

Garage
Select1 One Car Attached Garage2 Two Car Attached Garage3 Three Car Attached Garage4 Four Car Attached Garage1 One Car Detached Garage2 Two Car Detached Garage3 Three Car Detached Garage4 Four Car Detached GaragePole BarnGarage/ShopNO Garage or Pole Barn

Basement
SelectYESNO

Is the Property Currently Occupied?
SelectYES - I Live In The PropertyNO - The Property Is EmptyYES - There Is a Tenant Living In PropertyYES - A Family Member Lives In Property

Is the Property listed with a Realtor?
SelectYESNO

If Property IS Listed: Enter Broker / Realtor's Name

If Property IS Listed With Realtor: How Much Time Is Left On Listing Agreement?
SelectLess Than a MonthLess Than 3 MonthsLess Than 6 MonthsMore Than 6 MonthsMonth To Month Agreement

Notes, Questions or Comments

Mortgage Information

Please provide as much information about your current Mortgage (if any) as you can. This information will remain confidential but is very important to complete our offer process.

Is There A Mortgage or Note On This Property?
SelectYesNo