House Seller Form

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Please fill out as much information as you can about your property so that we can evaluate which program might best suit your needs.
Contact Information
Full Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Mobile Number
Format: (000) 000-0000.
E-mail*
example@example.com
Best Time to Call
Property Information
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Bedrooms:
Bathrooms:
What is the approximate square footage:
Year Built:
How many stories?
Garage:
What is the current condition of your property?
How many years have you owned this home:
What kind of repairs and maintenance does the house need?
How much do you think these repairs will cost in dollars? $
Is there anyone living in the house?
How long has the property been for sale?
YesNo
YesNo
If Yes, when does the listing expire?
What's your situation? Why are you selling?
Pricing Information
What do you think your house is worth?
How much are you asking for your house?
How did you determine the value?
What is the least you would accept if we closed quickly?
YesNoMaybe
How soon are you planning on moving?
Mortgage
Balance:
Interest Rate %
YesNo
If No, how far behind?
YesNo
Do you pay Homeowner/Condo Association dues? If so, how much per year? $
YesNoUndecided
How did you hear about us?
Do you have any questions or comments you would like to share with us?
What is the lowest amount you would be willing to accept?
Should be Empty:

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