Homeowner Questionnaire

Please Complete The HomeOwners Questionnaire

This Form Is Confidential

*Items marked with a red asterisk are required. If you dont know the answer to a required question, give your best guess or enter a “?”, “NA”, “dont know”, etc.

Name *

First

Last

Email *

Day Phone *

Evening Phone *

Cell

Best Time To Call *

Do You Need To Sell Your House Fast? *

What Is Your Situation? Why Are You Selling? *

How Soon Do You Need To Close? *

What Is The Street Address Of Your Property? *

City? *

State? *

Zip Code? *

County? *

Home Style? *

Single Family Home, Condo, Multifamily Home, etc.

Stories/Floors? *

Bedrooms? *

Bathrooms?

Garage?

Basement? (Finished/Unfinished) *

Square Footage?

Lot Size/Acerage? *

Year Built? *

Construction? *

How Long Have You Owned This House? *

What Is The Current Condition Of Your Home? *

What Kind of Repairs and/or Maintenance Does Your Home Need? *

How Much Do You Think These Repairs Will Cost? *

Is There Anyone Living In The House? *

How Long Has The Home Been For Sale *

Is This House Currently Listed With a ®Realtor? If Yes, When Does The Listing Expire? *

How Much Are You Asking For Your House? *

How Did You Determine Your Asking Price? *

If You Had An Appraisal Done, How Much Do You Think Your Home Would Be Worth? *

First Mortgage Balance? $_______ *

First Mortgage Payment? $_______ *

First Mortgage Payments Current? *

Second Mortgage Balance? $_______ *

Second Mortgage Payment? $_______ *

Second Mortgage Payments Current? *

Third Mortgage Balance? $_________ *

Third Mortgage Payment? $_________ *

Third Mortgage Payments Current? *

What Is Your Loan Type? *

Fixed
ARM
N/A

What Is Your Interest Rate? *

If Not Current On Payments, How Far Behind? *

List the details for 1st, 2nd, and 3rd mortage if applicable.

How Much Are Your Total Annual Property Taxes? $_______ *

Are Your Property Taxes And Insurance Included In Your Monthly Mortgage Payment? *

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 *

Yes
No
Undecided

If Applicable, In The Form Of Monthly Payments? *

Yes
No
Undecided

Would You Be Willing To Sell Your Home By Allowing Us To Take Over Your Monthly 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? *

Social Media, Google, Facebook, etc. If you have a reference or referral code, you can list it here.