Sellers Application

Date of Initial Contact*

Owner(s) Name of Primary Site Property*

First Last

Address of Owner(s)*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Primary Site Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Cell Phone

Home Phone*

Work Phone

Fax Number

RE# Primary Site

Email Address*

Is the Property Vacant*

Is the Property Rented*

If Yes, How Much $

Lease Terms / Expiration?

Number of Bedrooms:*

Number of Bathrooms:*

Build Year:*

Sq. Feet:*

Does the Property have a Garage?*

Frame?*

Brick?*

Any Repairs Needed?

Is the Home Listed?*

Price:

Listing Expires:

Any Offers?

How Much Was the Offer?

Roof*

Front/Back Yard*

Appliances*

Water Heater*

Pool

Cabinets*

Floorings*

Bedrooms*

Bathroom(s)*

Rooms*

Fencing

Garage Door

A/C Unit(s)

Carport

Paint

Exterior (Y/N)*

Exterior - Does it need a paint job?*

Exterior - Is there a foundation problem?*

Exterior - any cracks & where?*

Exterior - any debris to be removed?*

Interior - Note condition of interior walls & ceiling (holes in drywall, water stains, etc):*

How quickly are you looking to sell?*

What are you looking to sell the property for?*

Is that price flexible?*

How did you establish that number?*

If I can offer you cash and close quickly, what is the best you can do?*

Can you do any better than that?*

Mortgage Information - Who do we have to pay off on the property?

Mortgage Information - How much?

Any liens or back taxes?*

How much?

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