We Buy Houses, Ugly Ones Too!! Cash or Terms!!
First Name
*
LastName
*
Email
Fax:
PhoneNumber
*
Cell:
How Did You Hear About Us:
Do You Need To Sell Your House Fast!
If So What Is Your Situation, Why Are You Selling?
When Do You Need To Move:
Street Address
*
County
*
City
*
State
*
Zip
Type of property
Please Select
Single Family Residence
Condo / Townhome
Manufactured on Permanent Foundation
Land
Other
Bedrooms
Bathrooms
Year Built
Heat
Square Footage
Lot Size
Air
Garage
Describe Any Unique Features of the House In The Box:
How Long Have You Owned The House:
Does The House Need Any Repairs?
What Is The Estimated Cost Of Repairs?
Describe Any Needed Repairs In The Box
House Curently Listed?
*
Please Select
Not Listed with an Agent
Yes it is currently listed with Agent
If House is Listed, When Does The Listing Expire MMDDYYYY:
What Is Your Asking Price
How Did You Arrive At The Number?
If We Had The House Apprised,What Do You Think The House Is Worth:
Lender Name
Balance Lender 1
Payment Lender 1
Interest Rate Lender 1:
Lender 2 Name:
Balance Lender 2:
Payment Lender 2:
Interest Rate Lender 2:
Taxes:
Insurance:
PMI-Private Mortgage Insurance:
Payments Behind:
*
If So What Amount:
Are There Any Liens Or Back Taxes:
*
Is The House Attached To A Bankruptcy:
*
Have You Received A Foreclosure Notice:
*
Click to edit
Upload a File
Cancel
of
Has A Foreclosure Date Been Set:
*
Click to edit
Upload a File
Cancel
of
Would You Sell Your House For What You Owe On It:
*
YES
NO
NEED MORE INFO
Would You Be Willing To Receive Any Of Your Equity If Applicable In The Form Of Monthly Payments:
*
YES
NO
NEED MORE INFO
Would You Be Willing To Sell Your House By Allowing Us To Take Over Your Monthly Payments:
*
YES
NO
NEED MORE INFO
Comments
On A Scale Of 1 To 10 - (1=No Hurry 5= Don't Have Much Time 10= Need To Sell Now!
Please Select
1No Hurry
2
3
4
5Don't Have Much Time
6
7
8
9
10Need to Sell Now!
Upload Any Files, Pictures, Docs Here:
Upload a File
Cancel
of
Upload Any Files, Pictures, Docs Here:
Upload a File
Cancel
of
Upload Any Files, Pictures, Docs Here:
Upload a File
Cancel
of
Upload Any Files, Pictures, Docs Here:
Upload a File
Cancel
of
Enter the message as it's shown
*
Save
Submit-Make Me an Offer
Print Form
Should be Empty: