Property Listing Form

The following is our QUICK ACTION property listing form. Fill out this form as completely as possible, and we will promptly contact you to discuss your options. The information you provide on this form will remain confidential. (Hint: When filling out online forms you can use your "tab" key to easily move from field to field.)

Information about you...
First name :
Last name :
Email  :
Daytime phone :
Evening phone :
Best time to call :
Property information...
Property street address :
Property city :
Property state :	Select State/Province Alaska Alabama Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Iowa Indiana Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Washington, D.C. --------------------- Alberta British Columbia Manitoba Newfoundland New Brunswick Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
Property zip code :
The property is currently :	Please select Owner occupied Occupied by a renter Vacant
No. of bedrooms :	Please select 0 1 2 3 4 5+
No. of baths :	Please select 0 1 2 3 4 5+
Square footage :
Year house was built :
Garage :	Please select One car attached One car detached Two car attached Two car detached Carport None Other
Check all that apply :	Wood floors Carpeting Tile Formal dining room Game room Fireplace Deck Finished basement Unfinished basement Brick Stucco Wood siding Vinyl siding Steel siding Other siding Swimming pool Central heat Central air Floor furnace Wood stove Septic tank Crawl space Slab Shop Storage shed
General condition of the house :	Please select Excellent Good Fair Poor UGLY!
Please describe any needed repairs :
Estimated cost of repairs :
Financial information...
How much do you feel the property is worth? :
1st mortgage balance :
1st mortgage monthly payment amount :
Does the 1st mortgage payment include taxes and insurance? :	Yes     No
What are yearly taxes and insurance costs? :
Are there other mortgages on the property? :	Yes     No
What is the combined monthy payment on all mortgages? :
Please tell us about any other liens and/or title problems that may affect this property :
If payments are not current, how far behind are they?
1st mortgage
$ amount behind :
# payments behind :
2nd mortgage
$ amount behind :
# payments behind :
Other mortgage(s)
$ amount behind :
# payments behind :
Have you received a foreclosure notice? :	Yes     No
Has a foreclosure sale date been set? :	Yes     No
Sale date (if set) :
Are you currently in bankruptcy? :	Yes     No
Just a couple more questions...
Why are you selling? :
How soon would you like to close? :
When/how could we come see the house? :
Is your property currently listed with a real estate agent/broker? :	Yes     No
If property is listed, when does your listing expire? :
Please provide any further comments that you feel are important :
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