Sell Your Home Fast! Please fill out as much information as you can about your property so that we can evaluate which program might best suit your needs.      Contact Information   *First Name:    *Last Name:    Day Phone:    Evening Phone:    Mobile Number:    *E-mail Address:    Best Time To call:  Select Morning Afternoon Evening    Property Information       *Address:    *City:    *State:    *Zip:    Bedrooms:  Select 1 2 3 4 5 6 7 8 9 10+ How many stories?    Bathrooms:  1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5 13 13.5 14 14.5 15 Garage:  Select None 1 Car Attached 1 Car Detached 1 ½ Car Attached 1 ½ Car Detached 2 Car Attached 2 Car Detached 2 ½ Car Attached 2 ½ Car Detached 3 Car Attached 3 Car Detached 3 ½ Car Attached 3 ½ Car Detached 4 Car Attached 4 Car Detached 5+ Car Attached 5+ Car Detached Carport Other   What is the approximate square footage:   Year Built:        How many years have you owned this home:   What is the current condition of your property? Select Excellent Good Fair Poor Terrible   What kind of repairs and maintenance does the house need?                How much do you think these repairs will cost in dollars? $    Is there anyone living in the house?     Select Yes - Owner Occupied Yes - Tenant No - unoccupied   How long has the property been for sale?       Is the house currently listed with a ®Realtor? Yes No   If Yes, when does the listing expire?       If No, has the house been previously listed? Yes No    Your Situation     What's your situation? Why are you selling?           Pricing Information     What do you think your house is worth? $    How did you determine the value? Select Appraisal Realtor Tax Assessment Best Guess Comparable   How much are you asking for your house?   Are you looking to sell your house for what you owe? Yes No Maybe   What is the least you would accept if we closed quickly?   How soon are you planning on moving?   1st Mortgage 2nd Mortgage     Balance $  $    Payment $  $    Interest Rate      %         Fixed Adj Fixed Adj   Payments Current? Yes    No Yes    No   If No, how far behind? $  $            Are your property taxes and insurance included in your   monthly mortgage payment? Yes No   Do you pay Homeowner/Condo Association dues? If so, how much per year? $    May we take over your payments until we get the house sold? Yes No Undecided   How did you hear about us?       Do you have any questions or comments you would like to share with us?          If we paid cash and closed by next Friday what is the lowest amount you would be willing to accept?

Copyright © 2004, All right reserved with iwebuyuglyhouses.com Powered By Proximate Solutions