Need to sell your house fast, want to sell your house for cash?

To sell your house fast, just enter your house information below, we will make an offer in 72 hours. We will close with in 3 weeks of you accepting the offer! We will explain other options to help you sell your house fast and sell your house for cash while getting top dollar at closing.

Seller Information Form

Please note that all fields followed by an asterisk must be filled in.

All information will be kept private and confidential.

First Name*
First Name*

Last Name*
Last Name*

E-mail Address

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Home Phone*
Home Phone*

Cell or Other Phone

Best phone and time to call you?

Why are you selling?*
Why are you selling?*

How soon do you want to move?

Asking Price

Estimated Value

How was value determined?

Best price for cash?

Mortgage Information

Date Purchased

Price Paid

Current Loan Balance

Monthly Payment

Taxes & Insurance Included

	Yes
	No

If not included

Taxes per year

Insurance per year

All payments current?*
All payments current?*

	Yes
	No

If not months behind?

Name of Lender?

Is there a 2nd mortgage?

	Yes
	No

If yes 2nd mortgage payment?

Months behind on 2nd mortgage?

Name of 2nd lender?

Are you open to Creative Financing?

	Yes
	No

Repairs needed?

Bed Rooms

Home Description

Square feet living area?

Lot size?

Construction type?

Fireplace?

	Yes
	No

Garage Type

Basement

	none
	partial
	full
	finished
	not finished

Appliances check the one that stay:

	Refrigerator
	Range/Stove
	Microwave
	Dishwasher
	Washer/Dryer
	Mower
	Window Coverings

Special amenities or comments:

Please enter the word that you see below.

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Need to sell your house fast, want to sell your house for cash?

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