First & Last Name
*
Phone Number
*
(?)
E-mail
*
(?)
Are you the actual owner?
*
YES
NO
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Select the ones that apply.
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Currently live in the house
The house is rented.
Currently Vacant
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Select one
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Single Family
Duplex
Triplex
Fourplex
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What is the full address of the property?
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1234 Main Street, City, State Zip Code
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Number of bedrooms?
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one
two
three
four
more
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Number of bathrooms?
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one
two
three
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What's happening in your life that is causing you to want to sell?
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Loss of work, can't afford the mortgage payment, moving, Probate, Inheritance, divorce.
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What repairs does it need?
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Roof, wood rot, flooring, paint, kitchen, bathroom, siding, foundation, wall structure.
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In your opinion, what is the property worth right now?
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Below 100,000
100,000 to 200,000
200,000 to 300,000
300,000 to 400,000
Above 400,000
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Is there anything owed against this property?
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YES
NO
I don't know.
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When would you like to sell?
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NOW!!
Maybe in 3-6 months.
just want to see how much you will give me for it...
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Once I make you an offer to purchase, are you prepared to make a decision?
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YES
NO
MAYBE
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Do you have a preferred closing date?
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YES
NO
I need to find another place to live.
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Questions you would like to ask of us.
I want to know...
(?)
What code is in the image?
*
Enter the characters shown in the image.