Submit House for Sale: Short sale leads and buy /sell houses Leads

Property Information

Address *

City *

State *

Zip *

County *

Beds *

Stories/Floors *

Bathrooms *

Garage *

Square Footage *

Basement *

Year Built *

Lot Size/Acres *

How long have you owned this house? *

What is the current condition of your property? *

What kind of repairs and maintenance does the house need? *

How much do you think these repairs will cost? *

Is there anyone living in the house? *

How long has the property been for sale? *

Is the house currently listed with a Realtor? *
Yes No

If Yes, when does the listing expire?

If No, has the house been previously listed?
Yes No

Prices and Terms

How much are you asking us to pay for your house? *

How did you determine your asking price? *

If we were to have your house appraised, how much do you think it would be worth? *

Mortgage Information

Do you need to sell your house fast? *	Yes No
Whats your situation? Why are you selling? *
How soon do you need to move? *

	1st Mortgage	2nd Mortgage	3rd Mortgage
Balance *	$	$	$
Payment *	$	$	$
Interest Rate *	%Fixed Adj	%Fixed Adj	%Fixed Adj
Payments current? *	Yes No	Yes No	Yes No
If no, how far behind?	$	$	$
How much are your total annual property taxes? *			$
Are your property taxes and insurance included in your monthly mortgage payment? *			Yes No
Do you pay Homeowner/Condo Association dues? If so, how much per year? *			$
Would you sell your house for what you owe on it? * Yes Undecided No
Would you be willing to receive any of your equity, if applicable, in the form of monthly payments? * Yes Undecided No
Would you be willing to sell your house by allowing us to take over your monthly mortgage payments? * Yes Undecided No
If we were able to buy your house in 7 Days or less, what is the least you could accept? * $
How did you hear about us? *
Do you have any questions or comments you would like to share with us?

Contact Information