How did you hear about us? :
Postcard
Letter
Internet Search Engine
Banner Ad
Friend
Pennysaver Ad
Other
Your Contact Information
First Name(s) :
Last Name :
Email :
Your Title :
Owner
Co-owner
Other
Home Phone :
Work Phone :
Cellular/Pager :
NO TIME, JUST CALL ME AS SOON AS POSSIBLE!!! :
CALL ME ASAP!!!
Best Time to Call? :
Anytime
7am-9am
9am-11am
11am-1pm
1pm-3pm
3pm-5pm
5pm-8pm
Call me at this number first: :
Home
Work
Cell/Pager
Mailing Address Line #1 :
Mailing Address Line #2 :
Mailing Address City :
Mailing Address State :
CA
AL
AK
AZ
AR
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MA
MD
MI
MN
MS
MO
MT
NE
NV
NC
NH
NJ
NM
NY
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Mailing Address Zip Code :
Fax :
Your Situation
Do you need to sell the property quickly? :
Yes
No
The property is currently: :
Owner Occupied
Renter Occupied
Vacant
If you live in the property, by what approximate date do you need/plan to move? :
What is your situation? Why are you selling? :
Your Property Information
Are you interested in selling more than one property? :
No
Yes
Property Address Line #1 :
Property Address Line #2 :
Property City :
Property State :
CA
AL
AK
AZ
AR
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MA
MD
MI
MN
MS
MO
MT
NE
NV
NC
NH
NJ
NM
NY
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Property Zip Code :
County :
Type of property :
Single Family Home
Condo
Townhouse
Duplex
Triplex
Fourplex
Multi-unit
Vacant Land
Is this property your :
Primary Residence
Second Home
Investment Property
Other
If you are renting this property out to a tenant, what is the current monthly rent amount? :
Please tell us the name(s) of everyone on the title. :
Bedrooms # :
3
1
2
4
5
6
7+
Bathrooms # :
2
1
1.5
2.5
3
3.5
4+
Approx. Square Footage :
Garage :
None
Carport
1
1.5
2
2.5
3
4+
Amenities (Check all that apply) :
Master Bath
Whirlpool Tub
Living Room
Dining Room
Family Room
Den
Home Office
Eat-in Kitchen
Fireplace(s)
Laundry Room (not in garage)
View
Pool
Spa
RV/Boat Parking
Please describe any other upgrades or remodeling to the property. :
Approx. year built (if known) :
Approx. lot size (sqf)? :
How long have you owned this property? :
What is the current condition of your property? :
Excellent
Good
Fair
Poor
Needs lots of work!
Please describe the kind of repairs and maintenance the house needs. :
How much do you think these repairs will cost? :
If you have been actively selling the property, how long has it been for sale? :
fewer than 2 weeks
2-4 weeks
4-8 weeks
2-4 months
5 + months
If you/your realtor have been actively marketing your property, why do you think it hasnt sold? :
Is the property listed with a Realtor®? :
Yes
No
If Yes, when does the listing expire? :
within 30 days
within 60 days
within 90 days
more than 90 days
If no, the property: :
has not been listed in the last 6 mths.
listing expired 30 days ago
listing expired at least 60 days ago
listing expired more than 90 days ago
Price & Terms
How much are you asking us to pay for the property? :
How did you determine your asking price? :
It's what I owe
Price of house in neighborhood
Appraisal
Realtor
Tax assessment
Best guess
Do you think that your price is the fair market value of the property? :
Yes--about right
No--my price is higher
No--my price is lower
I'm not sure
If we could offer you cash and close quickly, what would be the least you would take? :
Would you be willing to sell your house by allowing us to take over your monthly mortgage payments? :
Yes
Yes--but I also need cash now
Maybe--I haven't thought about that--tell me more
No
N/A--no loans on property
Would you be willing to receive any of your equity, if applicable, in the form of monthly payments? :
Yes
Yes--but I also need cash now
Maybe--I haven't thought about that--tell me more
No
If you answered yes to either of the last two questions, how much cash do you need now? :
If we were to buy your house FOR ALL CASH within 9 Days, what is the least you would accept? :
Existing Loans, Liens & Other Obligations on the Property
Are there any loans outstanding on the property? :
Yes
No
If yes, what is the approximate total amount of ALL loans outstanding on the property? :
If there are any other liens on the property, what is the approximate total amount? :
Please tell us about the other liens and/or other title problems that may affect this property. :
1st mortgage balance (approx.) :
1st mortgage monthly payment :
1st mortgage interest rate (approx.) :
Is the rate fixed or adjustable? :
Fixed
ARM
2nd mortgage/equity line of credit balance (approx.) :
2nd mortgage/equity line of credit monthly payment :
2nd mortgage/equity line of credit interest rate (approx.) :
Is the rate fixed or adjustable? :
Fixed
ARM
3rd mortgage/equity line of credit balance (approx.) :
3rd mortgage/equity line of credit monthly payment :
3rd mortgage/equity line of credit interest rate (approx.) :
Is the rate fixed or adjustable? :
Fixed
ARM
Are all mortgage payments current? :
Yes
No
How much are the total annual property taxes? (approx.) :
Are the property taxes current? :
Yes
No
If not, what is the approximate total amount of taxes and penalties due? :
Are property taxes and insurance included in the monthly mortgage payment? :
Yes
No
If you pay Homeowner/Condo Assoc dues and/or Mello Roos (Cal only), how much do all total per year? :
If payments are not current, how far behind are they?
1st mortgage: how many payments behind? :
1
2
3
4
5
6+
2nd mortgage: how many payments behind? :
1
2
3
4
5
6+
3rd mortgage: How many payments behind? :
1
2
3
4
5
6+
Have you received a foreclosure notice? :
Yes
No
Has a foreclosure sale date been set? :
Yes
No
If a sale date has been scheduled, what is the date? :
Are you currently in bankruptcy? :
No
Yes - Chapter 7
Yes - Chapter 13
If in bankruptcy, when did you file? :
If in a chapter 13 bankruptcy, are the payments under the plan current? :
Yes
No
Do you have any questions or comments?
Please ask any questions, share any comments, or tell us anything else that you think we should know :
IMPORTANT: Before clicking "submit," please review the information you entered, and print a copy of your completed response for your records.
Anti-Spam Challenge :