________________________________________________________________________
First Middle Last
SELLER'S ADDRESS
Street __________________________________________________________________
City __________________________________
State _________________________________________ Zip ______________________
SELLER'S PHONE #
Home ____________________ Work __________________ Cel ___________________
SELLER'S EMAIL ADDRESS _________________________________________________
PROPERTY INFORMATION
ADDRESS OF THE PROPERTY FOR SALE
Street __________________________________________________________________
City _________________________________
State ________________________________________ Zip ______________________
Closest cross street_______________________________________________________
WHY ARE YOU SELLING ___________________________________________________
WOULD YOU CONSIDER "OWNER FINANCING" THE PROPERTY? Yes / No
IS THIS PROPERTY HURTING YOUR CREDIT Yes / No
IS THIS PROPERTY IN "FORECLOSURE" Yes / No
LOT SIZE ______________________________________________________________
SQUARE FOOTAGE ________________Sq. Ft.
SEWER TYPE City __________ Septic _________________ Other _________________
HAVE YOU MADE ANY ADDITION TO THE HOME SINCE YOU'VE OWNED IT?
If YES, explain: _________________________________________________________
DOES THE HOME OR PROPERTY NEED REPAIR
If YES, explain: _________________________________________________________
______________________________________________________________________
______________________________________________________________________
Estimated cost of repairs $______________
HAS THE PROPERTY EVER FLOODED Yes / No
DOES THE PROPERTY HAVE CENTRAL HEAT & AC Yes / No
DOES THE PROPERTY HAVE "WINDOW UNITS" Yes / No
NUMBER OF ROOMS
BEDROOMS ___________________ BATHROOMS ______________________________
LIVING ROOMS ________________________ DINNING ROOMS __________________
KITCHENS _________________________________ IS THERE A WORK SHOP Yes / No
NUMBER OF RECREATIONAL OR GAME ROOMS ________________________________
IS THERE A POOL Yes / No
ARE THERE ANY ADDITIONAL LIVING QUARTEERS OTHER THAN THE HOUSE?
If YES, Explain: _________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
GARAGE : 1 car______ 2 car______ 3 car______ Attached_______ Detached_______
CARPORT: 1 car______ 2 car______ 3 car______ Attached_______ Detached_______
RENTER INFORMATION
IS THE PROPERTY CURRENTLY RENTED? Yes / No
If YES .
How much is the tenant paying for rent $ ____________________________________
How much DEPOSIT did the renter give you $ ________________________________
Do you have a written lease Yes / No
Is the lease month -to-month Yes / No
When does the lease end?
Tenant's name? (Optional) ________________________________________________
Tenant's phone number? (optional) _________________________________________
1ST LEIN INFORMATION
ORIGINAL AMOUNT OF THE 1st LEIN $ ______________________________________
APPROXIMATE BALANCE OF YOUR 1ST LIEN $ _______________________________
MONTHLY PAYMENT ON THE 1ST LEIN? $ ____________________________________
INTEREST RATE OF YOUR 1ST LEIN ________________________________________%
2ND LEIN INFORMATION
ORIGINAL AMOUNT OF THE 2nd LEIN $ _____________________________________
APPROXIMATE BALANCE OF YOUR 2ND LIEN $ _______________________________
MONTHLY PAYMENT ON THE 2ND LEIN $ ____________________________________
INTEREST RATE OF YOUR 2ND LEIN ________________________________________%
OTHER LEINS OR JUDGEMENTS ON TH PROPERTY
Explain ________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Amount $______________________________________________________________
TAX INFORMATION
YEARLY PROPERTY AND SCHOOL TAXES? $ __________________________________
ARE YOU BEHIND ON THE TAXES? Yes / No
If YES, How much do you owe $ ___________________________________________
What years have not been paid? ___________________________________________
IS THERE ANYTHING ELSE OF IMPORTANCE WE SHOULD KNOW ABOUT THIS ROPERTY
______________________________________________________________________
______________________________________________________________________
ADDITONAL COMMENTS
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
SUBMIT PRINT COMPLETED FORM
Call 866-303-8080 for the fax number of a Buyer in your area.