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Please fill out as much information as you can about your property so that we can evaluate which program might
best suit your needs.
Contact Information
*
First Name:
*
Last Name:
Day Phone:
Evening Phone:
Mobile Number:
*
E-mail Address:
Best Time To call:
Select
Morning
Afternoon
Evening
Property Information
*
Address:
*
City:
*
State:
TEXAS
*
Zip:
Bedrooms:
Select
1
2
3
4
5
6
7
8
9
10+
Stories/Floors:
Select
1
2
3
4
5
6
7
8
9
10+
Bathrooms:
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
10.5
11
11.5
12
12.5
13
13.5
14
14.5
15
Garage:
Select
None
1 Car Attached
1 Car Detached
1 ½ Car Attached
1 ½ Car Detached
2 Car Attached
2 Car Detached
2 ½ Car Attached
2 ½ Car Detached
3 Car Attached
3 Car Detached
3 ½ Car Attached
3 ½ Car Detached
4 Car Attached
4 Car Detached
5+ Car Attached
5+ Car Detached
Carport
Other
What is the approximate square footage:
Year Built:
How many years have you owned this home:
What is the current condition of your property?
Select
Excellent
Good
Fair
Poor
Terrible
What kind of repairs and maintenance does the house need?
How much do you think these repairs will cost in dollars?
$
Is there anyone living in the house?
Select
Yes - Owner Occupied
Yes - Tenant
No - unoccupied
How long has the property been for sale?
Is the house currently listed with a ®Realtor?
Yes
No
If Yes, when does the listing expire?
If No, has the house been previously listed?
Yes
No
Your Situation
What's your situation? Why are you selling?
Pricing Information
What do you think your house is worth?
$
How did you determine your asking price?
Select
Appraisal
Realtor
Tax Assessment
Best Guess
Comparable
1st Mortgage
2nd Mortgage
3rd Mortgage
Balance
$
$
$
Payment
$
$
$
Interest Rate
%
%
Fixed
Adj
Fixed
Adj
Fixed
Adj
Payments Current?
Yes
No
Yes
No
Yes
No
If No, how far behind?
$
$
$
How much are your total annual property taxes?
$
Are your property taxes and insurance included in your monthly mortgage payment?
Yes
No
Do you pay Homeowner/Condo Association dues? If so, how much per year?
$
If No, has the house been previously listed?
Yes
No
Undecided
Would you be willing to sell your house by allowing us to take over your monthly mortgage payments?
Yes
No
Undecided
How did you hear about us?
Do you have any questions or comments you would like to share with us?
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