Fast Response Form

Tell us about you...
* Name:
E-mail Address:
Day Time Phone: (Please include area code)
Evening Phone: (Please include area code)
Cell Phone: (Please include area code)
Best Time To Call:
Tell us about the property...
Property address:
Property Zip:
The Property is currently:
How did you hear about us:
When do you want to sell:
Asking Price:
How did you arrive at this price:
Estimated value of the property:
Do you still owe loans on the property:
1st mortgage balance:
1st mortgage payment amount:
Does the 1st mortgage payment include taxes and insurance:
2nd mortgage balance:
2nd mortgage payment amount:
Are all mortgage payments current:
How much are you behind on payments:
What is your reason for selling:
Is your property currently listed with a real estate agent/broker
What is the general condition of the house:
Estimated cost to repair the house:
No. of Bedrooms:
No. of Baths:
Garage:
Are you looking to sell for the amount owed:
Are you willing to wait on some of the equity:
Will you allow us to take over payements:
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