Fill this form out to receive a no obligation offer on your house. Items in bold are required. Remember your information is completely confidential and will never be sold or traded.

First Name

Last Name

Phone Number

Email

Address of Property

Type of Property

Condo Single Family 2 Family 3 Family 4-6 Family 6+

Is it owner occupied?

Yes No

If you have tenants, what are they paying? ?

If you have more than one tenant, please start a new line for each

Is your home currently on the market

Yes No

If Yes:

WIth a Broker For Sale By Owner

How long has it been on the market?

0-30 Days 31-60 Days 61-90 Days Over 90 Days

Do you have a first mortgage on the property?

Yes No

If Yes, how much is the balance?

Do you have a second mortgage on the property?

Yes No

If Yes, how much is the balance?

How much do you think the property is currently worth?

What repairs/updates are needed on the property?

What is the lowest price you could accept?

When would you like to close?

Why are you selling?

How did you hear about us?

Please type in the security code exactly