I'll Buy Your House in 5 Days or
I'll Give You $1000!
...the Next Step

If you want to sell your house quickly, please enter all information as accurately as possible...
It will only help me to make the fairest offer possible...
Please don't leave any fields blank.

Property Information
Property Address
City
State
Zip Code
County
Subdivision Name
Year Built
# of Bedrooms
# of Bathrooms
Number of Rooms
Property Type
Property Style
Property Construction
Heated Square Footage
Total Square Footage
Lot Size Acreage
Garage # of Cars
Garage Type
General Property Condition
Heating
Air Conditioning
Plumbing
Electrical
Flooring
Roofing
Number of Fireplaces
Pool
Basement
Stove
Refrigerator
Dishwasher
Microwave
Grammar School
Junior High School
Estimated Cost of Repairs
High School
Junior College
List Any Repairs
     
Questions About Selling
Length of Time for Sale
Is It Listed with a Realtor?
When Does the Listing Expire?
Listing Price
Estimated Home Value
Source of Value
Desired Move Date
What Is Most Important to You?
Asking Price
Asking Price for Cash
Are You the Owner?
Why Are You Selling?
When Would You Like to Sell?
Who Lives There?
Length of Ownership
   
Would you sell your house for what you owe on it?
Would you be willing to receive any of your equity, if applicable, in the form of monthly payments?
Would you be willing to sell your house by allowing us to take over your monthly mortgage payments?
If we were able to buy your house in 5 days or less, what is the lowest sales price you would accept?
What will you do if you can't sell?
 
Contact Information
Name
Address Where You Currently Live
Best Contact Phone
City, State & Zip Code
Secondary Contact Phone
Email Address
Mortgage #1 Information
Mortgage #2 Information
Monthly Payment Amount
Monthly Payment Amount
Interest Rate
Interest Rate
Fixed or Adjustable?
Fixed or Adjustable?
Original Length of Loan
Original Length of Loan
Length of Loan Remaining
Length of Loan Remaining
Is There a Balloon?
Is There a Balloon?
Original Mortgage Amount
Original Mortgage Amount
Current Balance
Current Balance
Does Payment Include Taxes?
Does Payment Include Taxes?
Does Payment Include Insurance?
Does Payment Include Insurance?
Are You Behind?
Are You Behind?
How Much Are You Behind?
How Much Are You Behind?
Detail Any Other Liens that Might Be on the Property (Besides the Mortgages)
Miscellaneous Information
How Did You Hear About Us?
Yearly Insurance Premium Amount
Best Time to Contact You
Yearly Taxes
Additional Information That We Might Find Helpful
Monthly Homeowners Dues
Have You Filed for Bankruptcy?