Your Situation
* Do you need to sell your house fast or stop foreclosure now ?
Yes
No
* What is your situation? Why are you selling?
* How soon do you need to move?
Within 1 week
1-2 weeks
3-4 weeks
1-2 months
3-4 months
5-6 months
6+ months
Your Property Information
* Address
* City
* State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
* Zip
* County
* Home Style
Apartment
Business Opportunity
Co-Op
Commercial
Condo
Country Home
Duplex
Farms & Ranches
Industrial
Investment Property
Lots & Land
Mobile Home
Quadruplex
Single Family Home
Timeshare
Townhouse
Triplex
Vacation
Waterfront Property
Other
* Stories/Floors
1
2
3
4
5
5+
* Bedrooms
1
2
3
4
5
6
7
8
9
10+
* Garage
None
1 Car Attached
1 Car Detached
1-1/2 Car Attached
1-1/2 Car Detached
2 Car Attached
2 Car Detached
2-1/2 Car Attached
2-1/2 Car Detached
3 Car Attached
3 Car Detached
3-1/2 Car Attached
3-1/2 Car Detached
4 Car Attached
4 Car Detached
5+ Car Attached
5+ Car Detached
Carport
Other
* Bathrooms
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6+
* Basement
None
Apartment
Crawl Space
Finished
Full
Half
Partially Finished
Unfinished
Walkout
Other
* Square Footage
Does Not Apply - Vacant Lot
No Idea
Less than 1000
1000 - 1499
1500 - 1999
2000 - 2499
2500 - 2999
3000 - 3499
3500 - 3999
4000 - 4499
4500 - 4999
Over 5000
* Lot Size/Acreage
No Idea
Less than 1/4 acre
Between 1/4 and 1/2 acre
Between 1/2 and 1 acre
Between 1 and 2 acres
Between 2 and 4 acres
More than 4 acres
Construction
Does Not Apply - Vacant Land
Frame with wood or hardboard siding
Frame with Hardi Plank siding
Stuco - EFIS (sounds very hollow when you tap it)
Stuco - Hardcoat (sounds very solid when tapped)
Brick Veneer
Concrete Block
Other (Describe further in comment section)
Year Built
* What month and year did you purchase this house?
format: mm/yyyy
* What is the current condition of your property?
Excellent
Good
Fair
Poor
Terrible
* What kind of repairs and maintenance does the house need?
* How much do you think these repairs will cost?
Less than $5,000
$5,000 to $9,999
$10,000 to $14,999
$15,000 to $19,999
$20,000 to $29,999
$30,000 to $39,999
$40,000 to $49,999
$50,000 to $59,999
$60,000 to $69,999
$70,000 to $79,999
$80,000 to $89,999
$90,000 to $99,999
More than $100,000
* Is there anyone living in the house?
Yes - Owner Occupied
Yes - Tenant
No - Unoccupied
* How long has the property been for sale?
Not on the market yet
Less than a week
Between 1 and 2 weeks
Between 2 weeks and 1 month
Between 1 and 2 months
Between 2 and 3 months
Between 3 and 4 months
Between 4 and 6 months
Between 6 months and 1 year
More than a year
* Is the house currently listed with a Realtor® ?
Yes
No
If Yes, when does the listing expire?
format: mm/dd/yyyy
If No, has the house been previously?
Yes
No
Price & Terms
* How much are you asking us to pay for your house?
$
* How did you determine your asking price?
Appraisal
Realtor
Tax Assessment
Best Guess
Comparables
* If we were to have your house appraised, how much do you think it would be worth?
$
* Would you sell your house for what you owe on it?
Yes
No
Undecided
* Would you be willing to receive any of your equity, if applicable, in the form of monthly payments?
Yes
No
Undecided
* Would you be willing to sell your house by allowing us to take over your monthly mortgage payments?
Yes
No
Undecided
* 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?
C O N F I D E N T I A L
Thank you for taking the time to share your home with us. We will review your information and contact you shortly. If you have any problem submitting this form, please contact us and let us know.
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