Home Information Form

Please complete with as much information as possible. We will contact you within 24 hours (usually same day).

WE WILL NOT SELL OR GIVE YOUR NAME OR INFORMATION TO ANY OTHER PERSON OR ORGANIZATION NOT DIRECTLY RELATED TO BUYING YOUR HOME. 

Name:

Email:

Phone:

Property Address:

Property City:

Property State:

Property Zipcode:

Are You The Owner?
 Yes No

Age of home:

Stories:

Number of Bedrooms:

Number of full baths:

Number of half baths:

Approximate square footage:

Is the property currently occupied:
 Yes No

Property condition:

Your estimated 'as is' value:

Purpose for sale:

How soon do you wish to sell?

What is your asking price if you could close within two weeks:

Is the property listed with a Realtor?
 Yes No

What is the approximate amount left on your first mortgage?

What is the payment amount (please subtract tax and insurance)?

If behind, by how many payments:

Second Mortgage or Home Equity Line of Credit total amount (if any):

WE WILL NOT SELL OR GIVE YOUR NAME OR INFORMATION TO ANY OTHER PERSON OR ORGANIZATION NOT DIRECTLY RELATED TO BUYING YOUR HOME.

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