| First Name: |
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| Last Name: |
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| Email: |
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| Daytime Phone: |
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| Evening Phone: |
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| Property Address: |
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| City: |
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| State: |
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| Zip Code: |
(5 digits) |
| When Do You Want To Sell?: |
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| How long have you owned the house?: |
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| Why are you selling the house?: |
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| Is the house currently listed with a Realtor?: |
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| What type of property?: |
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| How many bedrooms?: |
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| How many bathrooms?: |
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| How many square feet?: |
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| Garage?: |
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| Please list any other features of the house.: |
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| Is the property vacant?: |
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| Does the house need any repairs?: |
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| If yes, what repairs are needed?: |
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| What is your asking price?: |
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| How much do you think the house is worth?: |
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| How much do you owe on the house?: |
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| How much are the monthly payments?: |
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| Are the payments current?: |
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| Would you consider allowing us to take over your payments?: |
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| If we paid all cash and closed quickly, what is the least amount you would accept?: |
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| Would you consider selling your house for what you owe on it?: |
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