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
Are you the:*

Agent/RealtorHome Owner
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 we can agree upon a price and we accept all responsibility for future repairs would you, or the owner, consider a lease purchase?*

YesNoUndecided
If the asking price and the loan balance are within $35,000 of each other would you, or the owner, sell the house for the amount you owe on it?*

YesNoUndecided
If the home is paid for in full, or almost paid for, would you, or the owner, consider taking monthly payments for your equity?*

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

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
Please select the best day(s) of the week with when to contact you:*

MondayTuesdayWednesdayThursdayFridaySaturday
Please select the best time slot(s) which would be best to contact you:*

8:00am - 10:00am10:00am - 12:00pm12:00pm - 2:00pm2:00pm - 4:00pm4:00pm - 6:00pm
Asking Price*
Owner's Estimated Value*
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:*

RefrigeratorRangeMicrowaveDishwaherWasherDryer
Is the property:*

VacantOccupied
Is the property a condo?*

YesNo
Any 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