Real Estate Seller information

Contact's Full Name*

First NameLast Name

Contact's Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Contact's Phone Number*

Area CodePhone Number

Are you the:*

Agent/RealtorHome Owner

1st Mortgage $*

Lender Name

APR %

Monthly Pymt*

Is there a 2nd Mortgage?*

YesNo

2nd Mortgage $

Lender Name

APR %

Monthly Pymt*

Does payment include PITI? (Principal, Interest, Taxes & Insurance)*

YesNo

Are monthly payments current?*

YesNo

Amount behind (if any)?

If we can agree upon a price and we accept all responsibility for future repairs would you, or the owner, consider a lease purchase?*

YesNoUndecided

If the asking price and the loan balance are within $35,000 of each other would you, or the owner, sell the house for the amount you owe on it?*

YesNoUndecided

If the home is paid for in full, or almost paid for, would you, or the owner, consider taking monthly payments for your equity?*

YesNoUndecided

What is it that you need to have from the sale of your home?*

Need immediate payoff before losing the property.Take over payments because can't afford two house payments.No immediate concerns so I would be OK with accepting pre-determined payments for a specified length of time.Other

Please select the best day(s) of the week with when to contact you:*

Please select the best time slot(s) which would be best to contact you:*

Asking Price*

Owner's Estimated Value*

How did you arrive at your asking price?*

If Other, please explain:

Reason for selling?

Are any repairs needed?*

YesNo

If Yes, please explain:

If you currently reside in the residence, when would you want to move?

Is the property CURRENTLY listed with any realtor/agent?*

YesNo

If Yes, then how long has the property been listed?

Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Number of bedrooms:*

Number of bathrooms:*

Lot size:*

Type of construction:*

If Other, please explain:

Garage:*

Carport:

YesNo

Basement:*

YesNo

If Yes, is the basement finished or unfinished?

Select any appliances that will come with the home:*

Is the property:*

VacantOccupied

Is the property a condo?*

YesNo

Any Association fees?*

YesNo

If Yes, how much?

Please add any additional comments you feel are important about the property that were not covered above:

Contact Information

Existing Mortgage Information

Property Information