Client Offer Submission

1
Are you an Home Owner or a Real Estate Agent/Wholesaler
Home Owner
Agent/Wholesaler
2
Name* This field is required.
First Name
Last Name
3
Property Address* This field is required. Enter your property Address that you would like to get an offer for
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Phone Number* This field is required.What is the best phone number we could reach you at with any questions
Area Code
Phone Number
5
E-mail* This field is required.
6
Preferred contact method
Phone
Email
Test
7
Property Type
Single Family Resident (SFR)
Condo
Townhouse
Manufacture
Multi Family Resident
Patio Home
Loft Style
8
Total Number of Bedrooms
1
2
3
4
5
6
7+
9
Total Number of Bathrooms
1
1.5
2
2.5
3
3.5
4
4.5
5+
10
Approximate Square FootagePlease provide the square footage of your home
11
Parking
1 Car garage
2 Car garage
3 Car garage
4 Car garage
Car Port
Slap Parking
Covered Parking
Other
12
Check All that Apply
Gated Community
Leased Solar Panels
Septic Tank
Age Restricted Community (55+)
Backups up to busy road
Needs major improvements
None of the above
13
Flooring TypePlease provide the flooring materials found in your home and where (tile, laminate, carpet)
Carpet
Tile
Laminate Flooring
Linoleum
Concrete Flooring
Other
14
Has the Kitchen been remodeled
YESNO
15
Kitchen Appliances
All Black
All White
All Stainless
Mixed
16
Kitchen Counter Top Material
Granite
Quartz
Corian
Formica
Concrete
Other
17
Are there any additions made to the home?
YESNO
18
HVAC: How Many AC units are on the home?
19
HVAC: Approximate Age of your Air Conditioner(s)
1-5 years
5-10 years
10-15 years
15+ years
20
HVAC: Does all rooms have AC ducts?
YESNO
21
Water Heater: What is the age of the water heater?
1-5 years
5-10 years
10+ years
22
Roof: What is the Age of the Roof?
23
Roof: Has there been any roof repairs? if so, when were they made...
24
Pool: Does your home Have a Pool?
YESNO
25
Does your home have an HOA?
YESNO
26
How much are the HOA fees and when are they paid (if applicable)Please provide your current HOA fees and how often they are paid
27
Additional InformationPlease provide any additional information about your property to help us get the best offer for your home.
28
When can we present you all offers on your home* This field is required.What time and day works best to present you all the offers and options for your home?
Date
Month
Day
Year
1
1
2
3
4
5
6
7
8
9
10
11
12
Hour
10
00
10
20
30
40
50
Minutes
AM
AM
PM
29
Property PicturesPlease upload pictures of your property
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
Should be Empty: