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Name(s) of Owner(s) *
Day Phone *
Evening Phone *
Best time to call *
Property Address? (with city state and zip code) *
How long have you owned your house? *
Is the property currently listed with a Realtor? * Yes No
If yes, how much is it listed for and when does it expire?
Do you need to sell your house quickly? * Yes No
If yes, what is your situation? Why are you selling ,, ie .... foreclosure, relocating, divorce , bankruptcy, probate.. needs repairs etc.. *
If you need us to help you stop foreclosure tell us when is your foreclosure date?
Is the house vacant or occupied? *
If occupied, how soon do you need or want to move?
How many Bedrooms and bathrooms? *
Does the home need repairs? Yes No
In your opinion, how much will the repairs cost?
Please describe what repairs are needed *
What do you think your house is worth?
How much are you asking us to pay for your house? *
Would you sell your house for what you owe on it? * Yes No
If I could offer you quick CASH and close QUICKLY, what would be the least you would take? *
How did you hear about us? *


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