Real Estate Seller information

Contact Information
Contact's Full Name*

First NameLast Name
Contact's Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact's Phone Number*

Area CodePhone Number
Agent/RealtorHome Owner
Existing Mortgage Information

(Required)
1st Mortgage $*
Lender Name
APR %
Monthly Pymt*
YesNo
2nd Mortgage $
Lender Name
APR %
Monthly Pymt*
YesNo
YesNo
Amount behind (if any)?
YesNoUndecided
YesNoUndecided
YesNoUndecided
Need immediate payoff before losing the property.Take over payments because can't afford two house payments.No immediate concerns so I would be OK with accepting pre-determined payments for a specified length of time.Other
MondayTuesdayWednesdayThursdayFridaySaturday
8:00am - 10:00am10:00am - 12:00pm12:00pm - 2:00pm2:00pm - 4:00pm4:00pm - 6:00pm
Asking Price*
Owner's Estimated Value*
Amount left on mortgageReal Estate Agent recommendedComparable home salesEqual to amount of equityOther
If Other, please explain:
Reason for selling?
YesNo
If Yes, please explain:
If you currently reside in the residence, when would you want to move?
YesNo
If Yes, then how long has the property been listed?
Property Information
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Number of bedrooms:*
Number of bathrooms:*
Lot size:*
Type of construction:*
If Other, please explain:
Garage:*
YesNo
RefrigeratorRangeMicrowaveDishwaherWasherDryer
VacantOccupied
YesNo
YesNo
If Yes, how much?
Please add any additional comments you feel are important about the property that were not covered above:
Thank you for contacting Ebony Bryant, Realtor

Your Trusted Realtor

I look forward to assisting you in selling your property. I ask that you allow me to be the Trusted Pofessional that I am in servicing you in order to get your property prepped, on the market and SOLD.
Should be Empty:

Contact Information

Existing Mortgage Information

Property Information