First Name:
*
Last Name:
*
Email:
*
Telephone:
*
Property Address:
*
City, State, Zip:
# of Bedrooms:
4+
3.5
3
2.5
2
1.5
1
# of Baths:
3+
2.5
2
1.5
1
Approximate Square Footage?
Yr.Blt/Age
Why are you selling?
How much is owed on your home?
What do you think the house would appraise for?
What repairs are needed?
On a scale of 1-10, how motivated are you about selling your property?
1 not very motivated
2
3
4
5 motivated
6
7
8
9
10 very very motivated
Are your payments current?
Yes
No
Is the House Vacant or Occupied?
Vacant
Occupied
Appointment Time & Date to Meet
*