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We understand this form has a lot of questions but the more information you give us about your situation the better chance we have to assess your situation and make a fair offer or find other solutions to your problem. Please try to answer as many questions as possible.

Fields marked by * are required.   Contact Information:         First Name *       Last Name *       Phone Number *       Secondary Phone Number       Best Time to Call       Email Address *       How did you hear about us? *       Property Information:         Street Address *       City*       State *       Zip Code *       Information on Your Situation:         How fast do you need to sell? *       Why are you selling? Tell us more about your situation...*            Is your property currently listed with a Realtor? * Yes No       If yes, for how long?       Has the house been previously listed? Yes No       Estimated Property Value       How long have you owned this property?       What is the current condition of your property? * Very Good Good Fair Poor       What kind of repairs and maintenance if any, does the property need?            How much do you think these repairs will cost?       Is the property currently occupied? * Yes No       Do you live in the property? * Yes No       Are you behind on payments? * Yes No       How many payments are you behind? * None 1 payment 2 payments 3 payments 4 or more payments       First Mortgage Balance:       Total Monthly Payment First Mortgage (Include Principal, Interest, Taxes, & Insurance):       Second Mortgage or Home Equity Line Balance:       Total Monthly Payment Second Mortgage:       So you have any liens or title problems with the property that you know of? Yes No       If yes, please explain:            Would you sell for what is owed on it? Yes No Undecided       Would you be willing to receive any of the equity in the form of monthly payments? Yes No Undecided     Would you consider selling your property by allowing us to take over your monthly payments? Yes No Undecided       What price range are you looking to sell for if you could get a fast all cash sale now?       Do you have any additional information or concerns you would like to share with us?                  If you are having any problems submitting this form, please Contact Us and let us know.