PROPERTY INFORMATION FORM
Your Contact Information
First Name:
*
Last Name:
*
Are You the Owner of the Property?
*
Please Select
Yes
No
Property Owner First Name:
Property Owner Last Name:
Email Address:
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Daytime Contact Number:
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
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Algeria
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Anguilla
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Mali
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Montserrat
Morocco
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Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Basic Property Information
Same as my home address
*
Yes
No
Your Property Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Type of Property?
*
Please Select
Mobile Home- Single Wide
Mobile Home- Double Wide
Single Family
Townhouse
Condo
Duplex
Triplex
4-plex
Multifamily
Commercial
Land
Multiple / Combo
Other
Lot Rent per month
Approximate Square Footage:
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Number of Bedrooms:
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Number of Bathrooms:
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Garage:
Please Select
Yes
No
HOA dues
Please Select
Yes
No
How soon do you want to sell?
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Why do you want to sell the property?
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Is the property listed with Realtor?
*
Please Select
Yes
No
What Realtor?
Do you currently live at the property?
*
Please Select
Yes
No
Is it currently occupied?
Please Select
Yes
No
Monthly Rent Tenant Pays:
Do you owe anything on the property?
*
Please Select
Yes
No
How many Mortgages do you have?
*
Please Select
1
2
1st Mortgage
2nd Mortgage
Pay off Amount
Pay off Amount
Years Left
Years Left
Interest Rate
Interest Rate
Type of Interest
Type of Interest
Next Adjust. Due data
Next Adjust. Due data
Monthly Mortgage Payment
Monthly Mortgage Payment
Monthly Taxes & Insurance
Monthly Taxes & Insurance
Are you current on your payments?
Are you current on your payments?
How far behind?
How far behind?
Has the foreclosure started?
Please Select
Yes
No
How much, do you think, the property needs in repairs?
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Repairs Notes:
*
What do you think the property is Worth if it was in a Pristine Condition?
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Would you sell your house for what you owe on it?
*
Please Select
Yes
No
Undecided
Would you be willing to receive any of your equity. if applicable, in forms of monthly payments?
*
Please Select
Yes
No
Undecided
Would you sell your house if we can agree on the price, accept all responsibility of future repairs and also make monthly mortgage payments for you?
*
Please Select
Yes
No
Undecided
Would you be willing to sell your house by allowing us to take over your monthly mortgage payments?
*
Please Select
Yes
No
Undecided
If we were able to buy your house as soon as we can, what is the LEAST AMOUNT you would accept in CASH?
*
Please Select
Yes
No
Undecided
How did you hear about us?
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