Home Seller's Form

Filling out this form will give us a good idea of what you are looking for in a home, and what your general situation is. This helps us find the best fit for you. Any question that you don't know or would rather not answer you can leave blank.

Basic Info

First Name:
Last Name:
Address:
City:
State: Zip:
Email:
Home:
Work:
Cell:
Easiest to reach:
Best time to call:

Property Information

The location is the same as my contact information.
Address:
City:
State: Zip:
Home or Property Type:
Bed:
Bath:
Garage:
How much you are asking for: $
How much you feel the home is worth: $
How did you arrive at that number?

Repair Information

Please describe the condition of the following:
Kitchen
Bathrooms
Roof
Flooring

Mortgage Information

Yes, we know that financial questions can be a bit sensitive. Any and all information you give is kept strictly confidential.

1st mortgage

Mortgage balance: $
Monthly Payment: $
Includes taxes and insurance

If you are behind on your 1st mortgage payment:
Number of payments behind: #
Is there a 2nd mortgage?
Yes No

2nd mortgage

Mortgage balance: $
Monthly Payment: $
If you are behind on your 2nd mortgage payment:
Number of payments behind: #

Why you are selling

Reason for selling:
Other:

What you need most when selling:
Need to sell:
Are you facing foreclosure?
Yes No

Has a foreclosure sale date been set?
Yes No
Sale Date:
Is your home listed with an agent?
Yes No

When does your listing expire?
Are you currently in bankruptcy?
Yes No


How did you hear about us?
Please provide any further comments that you feel are important:
Leave blank: Leave alone:
We will never, under any circumstances, give out or sell your personal information to any third party. We take your privacy very seriously.
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