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Seller's Fast Action Form

Please take a few minutes to fill out this form for a FAST response!

This is a FREE form. You are under no obligation.

Privacy Policy: We will not use any of the information you provide on this form for any purpose except to develop an offer on your home.

The more completely you fill out this form, the quicker we can prepare an offer that can meet your needs!

* = Required Fields

Hint: Use the "Tab" key to move through the fields.

Tell us about you:

*First Name:
*Last Name:
*Phone Number:
Alternate Phone:
*E-mail:
Best Time to Call:

Tell us about the property:

*Street Address:
*City:
*State:
*County:
*I own this property:
*Property Type:
*Property is currently:

If property is currently rented, please answer the following.
Otherwise click here to skip this section.

Current Rent:
Deposit:
Date lease expires: -- mm/dd/yy
Tenant Pays: Gas  Electric  Water/Sewer
Tenant behind?

*Listed with a real estate agent?
If yes, when does listing expire? -- mm/dd/yy
*Bedrooms:
*Bathrooms:
*Garage:
*Square Footage:
*Basement/Foundation:
*Year Built:
*General condition of house:

Briefly describe any needed repairs:


*Why are you selling?


*How soon do you need to sell?

Tell us about the numbers:

How much do you think the house is worth?
Value based on:
How much are you asking?
Monthly Principal and Interest payment:
Yearly Taxes:
Total Monthly Payment:
Type of Mortgage:
Years left on mortgage:
Mortgage Balance:
Mortgage Terms:
Interest Rate:
Home Owners' Association:
Annual Association Fees:
Are you behind on payments?
If yes, total amount behind:
Are you behind on taxes?
If yes, total amount behind:
Have you received a foreclosure notice?
If yes, has a foreclosure date been set?
If yes, sale date: -- mm/dd/yy
Are you currently in bankruptcy?

Does the 1st mortgage payment include an escrow for
taxes and insurance?


Are there other mortgages on the property?


What is the combined monthly payment on all mortgages?


What is the combined mortgage BALANCE of all mortgages?


Briefly describe any other liens and/or title problems that
may affect this property:


Any additional comments or questions you think are
important?


*If we could offer you all cash and close quickly,
what's the least you would take?


*How did you find out about us?


*How soon do you need an offer?


<--Click here if you'd like to receive our FREE Special Report, "Sell Your Home the Easy Way!".


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