Selling Your House

Name:

Mailing Address:

City / State / Zip:

Home Phone:

Cell Phone:

Work Phone:

Email:

Address:

City / State / Zip:

Year built:

Listed:

Vacant:

# Bedrooms:

# Bathrooms:

Garage:

Parking:

Square footage:

Acreage:

Owner occupied:

Rent amount:

Special features (basement, sun room,etc):

Your asking price:

How did you come up with this price:

Total mortgage balance:

Total monthly mortgage payment:

Are taxes included in this payment:

Are the monthly payments current:

List any other liens against the property:

Why are you moving:

Where are you moving to:

When are you moving:

If I cannot sell my house I will:

How did you hear about us:

Please provide us with any other information you think we should consider: