First and Last Name: Address of Property for Sale: City, State and Zip Code: E-mail Address: Daytime Phone with Area Code: Evening Phone with Area Code: Cell Phone with Area Code: Are You The Owner?
If "No", Please list the Owners Name: How Quickly Do You Need to Sell? As Soon As Possible 2 weeks 4 weeks 1 - 2 months 2 months plus no big hurry Reason for Sale: <- please choose -> Divorce or Separation Foreclosure Death in Family Job Relocation Financial Problems Avoid Broker Fees Speed Up Selling Process Probate Tenant Problems Inheritance Bankruptcy Health Issues Property Condition Need to Move Fast Upsizing Downsizing Other Property Type: single family condo apartment building townapartment land only farm Property or Home Condition: Very Good Good Fair Poor Estimated Value: I don't know Less than $50,000 $50,000 - $75,000 $75,000 - $100,000 $100,000 - $150,000 $150,000 - $200,000 $200,000 - $300,000 $300,000 - $400,000 $400,000 - $500,000 $500,000 - 1 Million More than 1 Million How Much Would You Sell For If You Could Get a Fast Sale Now? Square Footage (if known): Number of Bedrooms: one two three four five more than five Number of Bathrooms: one full one and a half two full two and a half three full three and a half four full more than four Stories: one two split level Age of Home: less than 3 3 - 5 years 5 - 10 years 10 -15 years 16 - 20 years 21 - 30 years 31- 40 years 41 - 50 years more than 50 years Pool? Is the Property Currently Occupied?
Is the Property listed with a Realtor?
1st Mortgage Balance Estimate: Monthly Payment: Does first mortgage payment include: taxes and insurance? How Many Payments Are You Behind? None One Two Three Four or more Do You Have a 2nd Mortgage or Home Equity Loan? 2nd Mortgage or Equity Loan Balance Estimate: Other Notes or Comments
