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Home Sellers
First Name
Last Name
Email
Phone
Address
Bedrooms:
Please Select
1
2
3
4
5+
Bathrooms:
Please Select
1
1.5
2
2.5
3
3.5
4+
What is the approximate square footage:
Year Built:
How many stories?
Garage:
Please Select
None
1 car Attached
1 car Detached
1.5 Car Attached
1.5 Car Detached
2 Car Attached
2 Car Detached
2.5 Car Attached
2.5 Car Detached
3 Car Attached
3 Car Detached
3.5 Car Attached
3.5 Car Detached
Carport
Other
What is the current condition of your property?
Please Select
Excellent
Good
Fair
Poor
Terrible
How many years have you owned this home:
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?
Please Select
Yes-Owner Occupied
Yes-Tenant
No-Unoccupied
How long has the property been for sale?
Is the house currently listed with a Realtor?
Please Select
Yes
No
If No, has the house been previously listed?
Please Select
Yes
No
If Yes, when does the listing expire?
What's your situation? Why are you selling?
What do you think your house is worth?
How much are you asking for your house?
How did you determine the value?
Please Select
Appraisal
Realtor
Tax Assessment
Best Guess
Comparable
What is the least you would accept if we closed quickly?
Are you looking to sell your house for what you owe?
Please Select
Yes
No
Maybe
How soon are you planning on moving?
Mortgage Balance
Interest Rate
Do you have any questions or comments you would like to share with us?
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