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   S E L L E R   Q U E S T I O N N A I R E   
*Items marked with a red asterisk are required. If you're unable to answer a required question, give us your best guess or enter a "?", "NA", "0", "don't know", etc. If you have any problem submitting this form, please contact us and let us know.  Click here to use our Secure & Confidential Questionnaire.
Your Contact Information

*First Name(s)

*Day Phone

Example: 123 456-7890
*Last Name Evening Phone
*Email Cellular/Pager
    Best Time to Call
Your Situation
Do you need to sell your house fast? Yes No
*What's your situation? Why are you selling?
How soon do you need to move?
Your Property Information
*City *State *Zip
Property Type
*Square Footage
*Year Built
*Lot Size/Acres
*How long have you owned this house?
*What is the current condition of your property?
*What kind of repairs and maintenance does the house need?
*How much do you think these repairs will cost? $
*Is there anyone living in the house?   
*How long has the property been for sale?   
*Is the house currently listed with a ®Realtor? Yes No
          *If Yes, when does the listing expire?   
          *If No, has the house been previously listed? Yes No
Price & Terms
*How much are you asking us to pay for your house? $
*How did you determine your asking price?  
*If we were to have your house appraised, how much
do you think it would be worth?
    1st Mortgage   2nd Mortgage   3rd Mortgage
*Balance $ $ $
*Payment $ $ $
*Interest Rate   % *Fixed *Adj   % Fixed Adj   % Fixed Adj
*Payments Current? Yes No Yes No Yes No
*If No, how far behind? $ $ $
*How much are your total annual property taxes? $
*Are your property taxes and insurance included in your monthly mortgage payment? Yes No
*Do you pay Homeowner/Condo Association dues? If so, how much per year? $
*Would you sell your house for what you owe on it? Yes No Undecided
*Would you be willing to receive any of your equity, if applicable, in the form of monthly payments? Yes No Undecided
*Would you be willing to sell your house by allowing us to take over your monthly mortgage payments? Yes No Undecided
*If we were able to buy your house in 7 Days or less,
what is the least you could accept?
*How did you hear about us?
Do you have any questions or comments you would like to share with us?
      Enter verification code (in red) to the left.
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   S E L L E R   Q U E S T I O N N A I R E   

Thank you for taking the time to share your information about your home with us.
We will review your information and contact you shortly.
If you have any problem submitting this form, please contact us and let us know.

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Suite 10-283
Dacula, GA 30019
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