C
O N F I D E N T I A L
Your Contact Information
* Your
First Name
* Your
Last Name
* Your
Email
Day-time
Phone Number
Evening
Phone Number
Your
Cell Phone
Fax
Your
Street Number
Your
Street Name
Your
Zip
Your
City
Your
State
...
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
* What's your situation?
Why are you selling?
When
do you need to sell your house?
Property Information
Same
as my home address above
Street
Number
Street
Name
Zip
City
State
...
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Is
the house currently listed
with a ®Realtor?
Yes
No
What kind of repairs or
maintenance does the
house need?
How
much do you think
these repairs will cost?
$
e.g. 5000 (not 5,000)
Approx.
Square Feet
Bedrooms
Is
it Vacant?
Yes
No
Price
And Terms
* How
much are you asking
us to pay for your house?
$
e.g. 5000 (not 5,000)
* How
did you determine
your asking price?
Appraisal
Realtor
Tax
Assessment
Best
Guess
Comparables
Amount
Needed to Move
* If
we were to have your
house appraised, how much
do you think it would be worth?
$
Would
you sell your house
for what you owe on it?
Yes
No
Undecided
Would
you be willing to
receive any of your equity, if
applicable, in the form
of monthly payments?
Yes
No
Undecided
Would
you be willing to sell
your house by allowing us to
take over your monthly
mortgage payments?
Yes
No
Undecided
* If
we were able to buy
your house in 7 Days or less,
what is the least you could
accept?
$
e.g. 5000 (not 5,000)
How
did you hear about us?
C
O N F I D E N T I A L