Seller Information Form
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Birthday
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Best Time to Contact?
*
Please Select
Morning
Afternoon
Evening
Property Details
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Property Type:
*
Please Select
Single Family
Townhouse
Condo
Villa
Other
Bedrooms
*
Please Select
1
2
3
4
5+
Bathrooms
*
Please Select
1
2
3
4+
What is the approximate square footage?
*
Year home was built?
How many stories?
*
Garage
Please Select
Yes
No
What is the current condition of the home?
Please Select
Excellent
Good
Fair
Poor
How long have you owned this property?
*
Are there any repairs or maintenance needed at the moment? If yes, explain below
*
If yes, how much do you think the repairs will cost?
Is there anyone living in the property?
*
How long has this property been for sale?
*
Is the property currently listed with a Realtor
*
Yes
No
If No, has the house been previously listed?
*
Yes
No
If Yes, when does the listing expire?
Your Situation
What’s your reason for wanting to sell?
Are you looking to purchase another property once you sell?
If Yes, will your purchase be contingent on the sell of this property?
Yes
No
Financials & Pricing
What do you think your home is worth?
How much are you expecting for your home?
What is the LEAST you would accept with a quick closing?
How did you determine the value
Please Select
Appraisal
Realtor
Tax Assessment
Best Guess
Neighbors
Comparables
Are you looking to sell your home for what you owe?
Yes
No
Mortgage
1st Mortgage Balance:
*
2nd Mortgage Balance:
Interest Rate:
Monthly Payment:
*
Payments Current?
*
Yes
No
If No, How many months behind?
Are your property taxes and insurance included in your monthly mortgage payment?
*
Do you pay Homeowner/Condo Association dues? How much? How often paid?
*
Did you receive any grants funds to purchase this property? If yes, please explain
*
Please share all vital information about you and your property below.
How did you hear about us?
*
Submit
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