Sellers Information Sheet

Your Name: *

Are you the owner? Yes No

Day Time Phone: *

Evening Phone:

Cell Phone:

Best Time To Call:

Email Address:

Property Address:

Property Zip:

The Property is Currently: Please Select Owner Occupied Occupied by Renter Vacant

Do you still owe loans on the property? Please Select Yes No

1st mortgage balance:

1st mortgage payment amount:

Does the 1st mortgage payment include taxes and insurance: Please Select Yes No

2nd mortgage balance:

2nd mortgage payment amount:

Are all mortgage payments current: Please Select Yes No

If not, how much are you behind?

Is your property currently listed with a real estate agent/broker: Please Select Yes No

What is the general condition of the house: Please Select Excellent Good Fair Poor UGLY!

What repairs are needed:

Estimated cost to repair the house:

No. of Bedrooms: Please Select 1 2 3 4 5 More

No. of Baths: Please Select 1 2 3 4 More

Car Garage None One Car Two Car Three Car

What do you think the property is worth?

When would you like to sell?

Will you allow us to take over your payments? Please Select Yes No

With a quick close and immediate cash payment, what is your bottom line cash price?