Contact
Name
E-Mail
Phone #
Address of Property
City
State
Zip Code
Are you the owner
Yes
No
If "NO" provide owners name
How soon do you need to sell?
Today
1-2 weeks
2-4 weeks
1-2 months
2+ months
No hurry
Reason for needing to sell
Foreclosure
Divorce
Death in Family
Relocation
Job Loss
Probate
Avoid agent fees
Tenant Problems
Bankruptcy
Health Issues
Inheritance
Property Condition
Need to Move Fast
Upsizing
Downsizing
Other
Property Type
Single Family
Condo
Townhouse
Multi-Unit
Vacant Land
Farm
Condition
Excellent
Good
Fair
Poor
Badly Damaged
Estimated Value
Cash offer you would accept?
Est. Square footage
# bedrooms
# Bathrooms
# Stories
Year Built
Pool
Yes
No
Garage
Yes
No
Occupied
Owner
Tenant
Vacant
Listed with agent
Yes
No
1st mortgage balance
Monthly payment
Does it include tax & Insurance
Yes
No
Are you current on payments
Yes
No
How many behind
2nd mortgage balance
Are you current on payments
Yes
No
Estimated balance
Are there other liens on property
Yes
No
Comments