Seller information Form

Contact Information
Owner’s Full Name*

First NameLast Name
Co Owner’s Full Name*

First NameLast Name
Contact's Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner’s Phone Number*

Area CodePhone Number
Co Owner’s Phone Number*

Area CodePhone Number
Existing Mortgage Information

(Required)
1st Mortgage $*
Lender Name
APR %
Monthly Pymt*
Is there a 2nd Mortgage?*

YesNo
2nd Mortgage $
Lender Name
APR %
Monthly Pymt*
Does payment include PITI? (Principal, Interest, Taxes & Insurance)*

YesNo
Are monthly payments current?*

YesNo
Amount behind (if any)?
If the asking price and the loan balance are within $20,000 of each other would you sell the house for the amount you owe on it?*

YesNoUndecided
What is it that you need to have from the sale of your home?*

Need immediate payoff before losing the property.Need immediate payoff, I don’t want to be financially responsible after sell.No immediate concerns, I’m prepared to cover two mortgages for a specified period of time.Other
Please select the best times to contact you:*

MorningsAfternoonsEveningsAnytime
What are you wanting to sell the home for?*
How did you arrive at your asking price?*

Amount left on mortgageReal Estate Agent recommendedComparable home salesEqual to amount of equityOther
If Other, please explain:
Reason for selling?
Are any repairs needed?*

YesNo
If Yes, please explain:
If you currently reside in the residence, when would you want to move?
Is the property CURRENTLY listed with any realtor/agent?*

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:*
Carport:

YesNo
Basement:*

YesNo
If Yes, is the basement finished or unfinished?
Select any appliances that will come with the home:*

RefrigeratorRangeMicrowaveDishwaherWasherDryerOther
Is the property:*

VacantOccupied
Is the property a condo?*

YesNo
Any Home Owner Association fees?*

YesNo
If Yes, how much?
Please add any additional comments you feel are important about the property that were not covered above:
Should be Empty:

Contact Information

Existing Mortgage Information

Property Information