Information Needed For Me to Buy Your House All information will be kept strictly confidential. Please complete all fields and click the submit button at the bottom of the page.

Owner Information Are you the owner? Yes No Owner's name:   Home Phone: Cell/Pager: Work Phone: E-Mail address:

Property Information Address:   City:      State: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY      Zip: Bedrooms: 1 2 3 4 5 6 or more Is the property currently occupied?                Self Renter Vacant Bathrooms: 1 1.5 2 2.5 3 3.5 4 or more Is is currently listed with a real estate agent?                Yes No Garage: 1 2 3 or more None How many years have you owned it?                01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30+ Carport: 1 2 3 or more None How old is the roof?                01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30+ Have you had the property for sale?            Yes No If yes, how long? 01 - 03 months 04 - 06 months 07 - 12 months 13 - 24 months 25 or more Why do you think it hasn't sold? What kind of condition is the property in? (carpet, paint, appliances, repairs etc.):

Financial Information Is the property foreclosing? Yes No If yes, total to reinstate the loan: If no, why are you selling? Does your mortgage payment include Taxes and Insurance?                        Yes No 1st mortgage: Balance: Payment: 2nd mortgage: Balance: Payment: How much do you think your property would appraise for? For all cash and a quick close, what is the least you would take? Would you take some cash now and payments for your equity?                        Yes No Maybe

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