First Name (required)
Last Name (required)
Your Email
Phone Number (required)
Property Address (required)
City (required)
State (required)
Zip (required)
Area
Owner's Name:
Who is living in the home? —Please choose an option—OwnerTenantRelative/FriendVacantOther
Are the utilities on? —Please choose an option—YesNo
If there is a tenant, when does the lease expire? (use today if it is month-to-month)
If house is vacant, for how long?
How many bedrooms? —Please choose an option—12345+
How many bathrooms? —Please choose an option—1234+
Style of house —Please choose an option—1 Story/Ranch1.5 Story Split Level2 Stories3 StoriesRow House/Town HouseMultifamily
Construction Type —Please choose an option—BrickFrameOther
Basement —Please choose an option—NoneCrawlFull UnfinishedFinished
Year Built
Any mortgages, liens, judgements against the property? —Please choose an option—NoYes
Approximate Amount (numbers only)
Type —Please choose an option—MortgageBack taxesOther liens/judgements
Overall condition —Please choose an option—ExcellentGoodFairPoorCondemned
Please describe what repairs are needed
Parking —Please choose an option—On StreetOff StreetDetached GarageAttached Garage
Number of Spaces —Please choose an option—12345+
Asking Price $ (numbers only, no commas)
How did you decide on this amount? —Please choose an option—Just want to get rid of itAppraisalReal estate agentZillow or other online websiteBased on what I have into itBased on what I need to get out of itWhat I "feel" it's worthOther
Why do you need to sell this house?
Any additional comments or information?
How did you hear about us? —Please choose an option—Post CardYellow LetterSocial MediaWebsiteReferralOther
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