Seller Questionnaire

Please complete all the fields and click the submit button at the bottom of the page. Once we receive and evaluate the information, we will contact you by phone to arrange a time to view your house.

All information will be kept strictly confidential.

NOTE: All fields on this form are optional - please make sure that we have a way to get in touch with you after you complete and submit this form. Thank you.

Tell us about you

Are you the owner?:	Yes No
Your name:
Owner's name (if different):
Home Phone:
Cell Phone/Pager:
Work Phone:
E-Mail Address:

Tell us about the property:

Address:
City:
State:
Zip:
Bedrooms:	1 2 3 4 5 6 or more
Bathrooms:	1 1.5 2 2.5 3 3.5 4 or more
Garage:	1 2 3 or more None
Square Footage:
Is the property currently occupied?:	Self Renter Vacant
Is it currently listed with a real estate agent?:	Yes No
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+
Age of the house?:	Less than 1 year old 1 - 2 years 2 - 3 years 3 - 4 years 4 - 5 years 5 - 10 years 10 - 15 years 15 - 20 years 20 - 25 years 25 - 30 years Over 30 years
What kind of condition is the property in? Does it need repairs (Carpet, Paint, Appliances, Roof, etc.)?:

Tell us about the numbers:

1st Mortgage Balance:
1st Mortgage Payment:
2nd Mortgage Balance:
2nd Mortgage Payment:
Does your mortgage payment include Taxes and Insurance?	Yes No
Are all your Payments Current?	Yes No
If yes, why are you selling?
If No, how far behind are they?	1-3 months 4-6 months 6-12 months over 12 months
Have you received a foreclosure notice?	Yes No
What is the foreclosure sale date?
How much do you feel your property is worth?
How did you come up with that amount
How did you hear about us?	Friend Advertisement Found on the Internet Other
Other Comments: