| Seller Information |
| Owner's Name: |
|
| Address |
|
| City | State | Zip |
| | |
| Subdivision |
|
| Work Phone |
|
| Home Phone |
|
| Cell Phone |
|
| Email Address |
|
| How did you find out about our web site? |
From a
friend/Colleague
From a newspaper/magazine ad
Searching on the web
Other:
|
| Let's Talk About the Numbers |
| How much do you owe on your house? |
|
| First Mortgage |
|
| Balance of first mortgage |
|
| Who is it with? |
|
| Monthly Payments |
|
| Does this include Taxes? |
Yes
No |
| Does this include Insurance? |
Yes
No |
| Second Mortgages or leans |
|
| Amount of second mortgage |
|
| Who is it with? |
|
| Monthly Payments |
|
| The total monthly payment is |
|
| Homeowners Association Dues, if any: Specify
per year |
|
| Are House Payments Current? |
Yes
No |
| If not, how far behind? |
|
| Is your house in Foreclosure? |
Yes
No |
| If so, enter date of Trustees Sale |
|
| Is the house attached to a bankruptcy? |
Yes No |
| Will you sell your house for what you owe on
it? |
Yes No |
| Property Information |
| How many bedrooms? |
|
| How many bathrooms? |
|
| Does your house have a garage or carport? |
Garage
Carport |
| How many cars? |
|
| Type of Construction: |
Brick
Block
Wood
Frame
Stucco Finish |
| Do you have central heat/air? |
Yes No |
| How many units? |
|
| Sub Flooring |
Concrete
Slab
Wood Floor
w/Crawlspace
Basement |
| Does your house need repairs? |
Yes No |
| If so, what kind? |
|
| When was the house built? |
|
| How long have you owned your house? |
|
| Why are you selling your house? |
|
| Please rate your need to get your house sold
quickly: |
In no hurry
Need to sell in 3
months
Need to sell in 1
month
Need to sell ASAP (<15
days) |
| Is it listed with an agent? Yes or No |
Yes No |
| If yes, when does it "expire?" |
|
| Any questions or comments you would like to
add? |
|
|
|
