Property Profile

Simply fill out the form and one of our representatives will contact you within 48 hours to discuss how we can buy your house as quickly as you wish. The more complete and accurate the information you provide, the faster we can create a solution for you.

If you would rather talk to someone right now, you can call 24 hours a day, 7 days a week and we can start the process now!

All information provided will be kept strictly confidential.

(*) Denotes required field. If you are unable to answer a required field, give us your best guess or enter a "?", "NA", "0".

Your Contact Information

*First Name:                              *Last Name:

Email:

*Day Phone:

Evening Phone:

Cellular/Pager:

Best Time to Call: Anytime Morning Afternoon Evening Night

Your Situation

Why are you selling?

How soon do you need to move?

Why?

Your Property Information

*Address:

*City:

*State: AL AK AR AZ CA CO CT DE DC FL GA HI IA ID IL IN KY KS LA MA ME MD MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY

*Zip:

Subdivision:

* Does the house need repairs? Yes     No

If Yes, how much do you think these repairs will cost? $

* Is the house currently listed with a Realtor? Yes     No

If Yes, listed at what price? $

Your Sale & Loan Information

* How much are you asking us to pay for your house? $

* If we were to have your house appraised today, how much do you think it would be worth? $

How did you arrive at that price?   1 Appraisal Realtor Tax Assessment Comparables Best Guess Other

	1st Mortgage	2nd Mortgage (if applicable)	3rd Mortgage (if applicable)
Balance	$	$	$
Payment	$	$	$
Interest Rate	%	%	%
	Fixed     ARM	Fixed    ARM	Fixed     ARM
Payment Current?	Yes    No	Yes    No	Yes    No
If No, how far behind?	$	$	$
Lender

Are your property taxes and insurance included in your monthly 1st mortgage payment? Yes     No     Not Sure

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? Additional information we should know:

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.