Sell Your House

Please provide the following Contact and Property information:

Name
Street Address
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
FAX
E-mail

How did you hear about us:    ... Yellow Pages Advertiser Letter Phone Call Referral

Why are you selling your house?   

Is the property:    ... Listed with an Agent For Sale by Owner or Neither

Number of Bedrooms?    ... 1 2 3 4 5 6 7

Number of Bathrooms?    ... 1 1.1 2 2.1 3 3.1 4 4.1

Is there a Basement?    Yes No

Is there a Garage?    Yes No

Payoff on 1st Mortgage?    $

Payoff on 2nd Mortgage?   $

Payoff on 3rd Mortgage?    $

Loan Type:    ... Conventinal FHA VA

Enter the name your bank.   

Are you current on your payments?    Yes No

        If not, how many months behind?   

Is there a Sale Date?    Yes No

        If so when?:    -- mm/dd/yy

Are there any other liens on the property?    Yes No

Are taxes on the property up to date?    Yes No

Please describe any repairs the house may need?

What do you think the value of the property is?    $

Have you filled for Bankruptcy?    Yes No

        If so which one:    ... Chapter 7 Chapter 13