Seller Information Form

If you need to sell your house quickly, please complete the following form and submit it
online, or print the form out and fax it to us at our number listed on the Contact Us
page. For immediate attention, you can call us and we can discuss your particular
situation.

Please complete as much of the form as possible.
If you are unsure of the information or uncomfortable, fill out whatever you can and we will determine the rest with you later.  Note the minimum required fields *.

In any case, you can rest assured that we will always respect and protect your privacy.

Note: Feel free to use as much space as you need for each category; the text will scroll.

*Required Fields

Name(s)*
Day Phone*
Evening Phone*
Cell Phone*
E-Mail*
Best Time to Call*
Do you own this house?	Yes No If Not, What is the Owner's Name(s)?
How did you hear about us?

Tell us about your house for sale:

Address*
City*
State*
Zip Code*
How Many Bedrooms?
How Many Bathrooms?
Approx. Square Footage?	sq. ft.
Approx. Acres?	acres
Style (Colonial, Ranch, etc)?
Year Built?
Years Owned?	yrs.
Condition?	Good Fair Poor
Garage?	Yes No If Yes, How many cars?
Does the house need work?	Yes No If Yes, Please Explain below:
How much will this work cost?
Any extra info about house?	Add extra info about the house below:
Is the house currently listed with a realtor?	Yes No If Yes, When does the listing expire?
How much are you asking?
What do you think its worth?
How did you arrive at these prices?
If we paid all cash to buy your house in 9 days or less, what is the least you would accept?

Financial Information:

Mortgage Balance	1st: 2nd: 3rd:
Mortgage Payments	1st: 2nd: 3rd:
Mortgage Interest	1st: 2nd: 3rd:
Are Payments Current?	1st: Yes No       2nd: Yes No       3rd: Yes No
If No, How far behind?	1st: 2nd: 3rd:
Are Taxes & Insurance Included in the Mortgage?	No Yes, Taxes&Insurance Yes, Taxes Only Yes, Insurance Only

Thank you for taking the time to fill out the form!