Home Seller's Form
Please complete as much of the requested information below as possible. The more information we have, the better able we are to serve your needs.
First Name :
Last Name :
Email Address :
Work (Day) Phone :
Home (Evening) Phone :
Cell :
Fax :
Property Information
Address :
City :
State :
Select State/Province
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Iowa
Indiana
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
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Washington, D.C.
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Alberta
British Columbia
Manitoba
Newfoundland
New Brunswick
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Postal/Zipcode :
What are you asking for the house? :
What do you think your house will appraise for if it were in tip-top shape? :
What area is it in? :
Existing Mortgage Information
What do you owe on the first mortgage? :
Who is the lender? :
Interest rate :
Monthly Payment :
What do you owe on the second mortgage? :
Who is the lender? :
Interest rate :
Monthly Payment :
Are your payments current? :
Yes
No
If behind by how many months or years :
Property Description
How Many Bedrooms :
1
2
3
4
5
6
Bathrooms? :
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
Square Footage :
Lot Size :
Construction :
Frame
Brick
Block
Stucco
Other
Air Conditioning :
Yes
No
Garage :
0
1
2
3
4
Carport :
Yes
No
Basement :
Yes
No
Appliances :
Refrigerator
Range
Dishwasher
Is the house vacant? :
Yes
No
Questions
Why are you selling :
Is the house listed? :
Yes
No
How did you arrive at your asking price? :
Does the house need any repairs? :
Approximate Cost? :
When do you want to move? :
Will you sell for what you owe? :
Yes
No
How did you hear about us? :
Comments :
Important Note:
We are part of a network of people in our area that respond to information such as you are submitting and anyone from our group may be calling you. By submitting this information, you acknowledge that you are aware that you will receive follow-up calls and information. We look forward to working with you to achieve your objectives.
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