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Sell your house - Tell Us About Your House For a Quick Sale

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
Your address
Your Street Number
Your Street Name
Your City
Your State
Your Zip
Country
* What's your situation?
Why are you selling?
Property Information
*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)
*Property Type
*Is it Vacant?
Yes No
Price And Terms
  1st Mortgage 2nd Mortgage
*Are Payments
Current?		 Yes No Yes No
*If Not How Far
Behind?		 $ $
*Liens on Property? Yes No Yes No
*How much are you asking
us to pay for your house?
$ e.g. 5000 (not 5,000)
*If we were to have your
house appraised, how much
do you think it would be worth?
$
*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

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