Property Submission Form

1. First Name(required)
2. Last Name(required)
3. Property Address:(required)
4. City:(required)
5. State:(required)
6. Zip Code:
7. Email Address:(valid email required)
8. Daytime Phone With Area Code:(required)
9. Evening Phone With Area Code:
10. Cell Phone With Area Code:(required)
11. Are You The Owner? If No, Please List the Owner's Name
12. Number Bedrooms: One Bedroom Two Bedrooms Three Bedrooms Four Bedrooms Five Or More Bedrooms
13. Number Bathrooms: 1 2 3 4 5+
14. Reason For Selling? Divorce Or Separation? Foreclosure? Death In Family? Job Relocation? Financial Problems Avoid Broker Fees? Speed Up Selling Process? Probate? Tenant Problems? Inheritance? Bankruptcy? Health Issues? Property Condition? Need To Move Fast? Upsizing? Downsizing? Witness Relocation? Other
15. How Quickly Do You Need To Sell? As Soon As Possible 2 Weeks 4 Weeks 1-2 Months More Than Two Months No Big Hurry
16. Property Type! Single Family Residence Condo Townhouse Duplex Fourplex Apartment Retail Strip Self Storage Complex Land Only Farm
17. Square Footage (If Known)|| I Don't Know The Amount 1,500 sq. ft. or less 1,500 to 2,500 sq. ft. 2,500 to 3,500 sq. ft. 3,500 to 4,500 sq. ft. 4,500 to 5,500 sq. ft. More Than 5,500 sq. ft.
18. Estimated Value: I Don't Know Less Than $50,000 $50,000 To $75,000 $75,000 To $100,000 $100,000 To $150,000 $150,000 To $200,000 $200,000 To $250,000 $250,000 To $300,000 $300,000 To $400,000 $400,000 To $500,000 $500,000 To $1,000,000 More Than One Million
19. How Much Would You Sell For If You Could Get A Fast Sale Now?
20. Stories One Two Split Level
21. Age Of Home Less Than 3 Years 3 to 5 Years 5 to 10 Years 10 to 15 Years 16 to 20 Years 21 to 30 Years 31 to 40 Years 41 to 50 Years More Than 50 Years
22. Pool Yes No
23. Garage? No 1 Car 2 Cars 3 Cars
24. Is The Property Currently Occupied?|| Yes No
25. Is Your Property Currently Listed With A Realtor? Yes No
26. 1st Mortgage Balance Estimate
27. Monthly Payment
28. Does Your Mortgage Payment Include: Taxes and Insurance? Yes No
29. Are You Current On Payments? Yes No
30. 2nd Mortgage or Equity Loan Balance Estimate:

 

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