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Name
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First Name:
Last Name:
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Contact Information
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Please enter your phone:
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Morning
Afternoon
Evening
Morning
Afternoon
Evening
Best time to contact you (multiple selection:)
Phone
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Email
Phone
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Email
Preferred method of contact (multiple selection):
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3
Property Information
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Property address: Street number, Directional, Street name, City, State, Zip Code
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Single-Family
Condo/Townhome
Multi-Family
Land
Other
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Please Select
Single-Family
Condo/Townhome
Multi-Family
Land
Other
Property type:
Number of bedrooms:
Number of bathrooms:
Approximate square footage:
Year built:
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4
Property Condition
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Move-in Ready
Needs Some Updates
Needs Major Repairs
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Move-in Ready
Needs Some Updates
Needs Major Repairs
Current condition:
Specific Issues: (e.g., roof, plumbing, foundation, etc.):
Repairs or renovations done in the past 10 years:
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5
Financial & Ownership Details
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Yes
No
Prefer not to say
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Please Select
Yes
No
Prefer not to say
Current Mortgage or Lien:
If no, what is the balance owed:
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Yes
No
Please Select
Please Select
Yes
No
Sole Owner of Property:
If no, please explain
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Yes
No
Please Select
Please Select
Yes
No
Currently Listed With an Agent:
If you could sell right now, how much would you sell for? (Please enter an estimated price range or exact amount)
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6
Timeline & Motivation
Why are you considering selling?
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1-3 Months
3-6 Months
6+ Months
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Please Select
1-3 Months
3-6 Months
6+ Months
Ideal Timeline to Sell:
Listing your home on the MLS
Selling to an investor
Receiving multiple options and choosing the best fit
Listing your home on the MLS
Selling to an investor
Receiving multiple options and choosing the best fit
What options are you open to? (multiple selection):
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7
Terms and Conditions
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By submitting this form, I acknowledge and agree to the following: 1. Licensed Agent Disclosure - Analicia Meza is a licensed real estate agent in the State of Arizona, affiliated with West USA Realty. - MLS listing services are provided through West USA Realty and are subject to brokerage policies and National Association of REALTORS® regulations. - Other services, such as connecting sellers with investors or direct purchases, are offered through Meza Real Estate Solutions, LLC. 2. No Obligation & Communication - Completing this form does not obligate you to sell your property. - You may be added to a customer relationship management (CRM) system and contacted regularly regarding potential selling options, market updates, and available opportunities. - You will be presented with options and may choose the one that best fits your needs. 3. No Guarantee of Sale - Submission of this form does not guarantee that your property will sell, whether through listing, wholesaling, direct purchases, or any other off-market options. Outcomes depend on market conditions, buyer interest, and other factors beyond our control. 4. Verification & Prohibited Conduct - You may be required to provide documentation verifying that you are the legal owner of the property. - Fraudulent activity, misrepresentation of ownership, or attempts to submit a property that is not owned by you are strictly prohibited. - Such fraudulent actions may result in removal from the network and may be reported to the appropriate authorities and/or pursued through legal action. 5. Marketing & Investment Use - If you decide to sell your property through Meza Real Estate Solutions, LLC, your property information, photos, or other details may be used for marketing purposes, investor presentations, or to showcase our investment portfolio. 6. Accuracy of Information - You agree that the information provided is true and accurate to the best of your knowledge. 7. Confidentiality - Your information will be kept private and used only to evaluate potential selling options for your property.
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8
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