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Following is our FAST response form.  Fill out this form as completely as possible and we will promptly contact you to discuss your options.

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The information you provide on this form will remain confidential

* required
Tell us about you...
Your name: *
E-mail address:  
Daytime phone: *
Evening phone: *
Best time to call:  
How soon do you want to sell: *
Why are you selling: *
How did you hear about us: *
Tell us about the property...
Property street address: *
Property city and state: *
Property zip code: *
Property subdivision:  
The Property is currently: *Owner Occupied
 *Occupied by Renter
 *Vacant
Bedrooms: *
Full Baths: *
Half Baths:  
Square footage:  
       Year Built:  
Basement:  
Garage:  
Pool: *YesNo
What is the general condition of the house: *
Tell us about the numbers...
What would your house appraise for?: *
How much are you asking for your house: *
1st mortgage balance: *
  1st mortgage payment amount: *
Does the 1st mortgage payment include taxes and insurance:  YesNo
Are there other mortgages on the property: *YesNo
What is the combined balance of all mortgages: *
What is the combined monthly payment on all mortgages: *
 
Are all mortgage payments current:
If payments are current click here		 *YesNo
If payments are not current, how far behind are they?
1st mortgage $ Amount behind
 # of payments
2nd mortgage $ Amount behind
 # of payments
Other mortgage $ Amount behind
 # of payments
Have you received a foreclosure notice: YesNo
Sale date:
Has a foreclosure sale date been set: YesNo
Just a couple more questions...
Is your property currently listed with a real estate agent/broker: YesNo
If property "is" listed, when does your listing expire:
Are you currently in bankruptcy:
Please provide any further comments that you feel are important in the box below...

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