We Buy, Lease & Sell Houses

Seller's Request Form

Please fill out this confidential form and one of our associates will contact you ASAP. Regardless of your situation, we can find a solution and make you a solid offer on your property. Please give us as much information as possible.

The fields marked with * are required.

* Items marked with * are required
Your Personal Contact Information

*First & Last Name *Email Address *Contact Number(s) Your Situation *What is your situation & why are you selling?
Your Property Location & Information:
*Property Address, City, State, Zip Code *Is the House Occupied? *Is the house listed with a realtor? *Relationship Status: *# Bedrooms/# /Baths/Sq.Ft./# Acres/Gargage/Basement/Swimming Pool/Overall condition of property/List of Repairs Needed/Estimated Value of House AS IS/( * Required) Least you'd accept, if we were to buy AS-IS for CA$H, and close now:
*Mortgage information: 1st Mort. $___________ / 2ndMort. $ ________________ Balance (#s only): / Mo.Payment (#s only): $ ________ / Interest rate: ______% / Does the pymt include taxes & Insurance: Yes or No
* Are you current on your pymt: Yes or No / If behind on pymts, how many mos: # _____ / Amt needed to bring loan current: $ ______ / Do you have other liens against property: Yes or No / Amt of lien (Approx.) $ __________