Home Seller Form

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Comment: Leave this field comment blank:

Your Information
First Name*:
Last Name*:
Day Phone*:
Evening Phone*:
Cellular Number/Pager:
Best Time to Call:	AnytimeMorningAfter NoonEveningNight
Email *:
Your Property Information
Address:
State (Or Canada) *:	Please select a state/countryCanadaUnited StatesAlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming
County/Province *:
City*:
Zip:
Do You Need To Sell Your House Fast:	Yes No
Why are you selling your house?:
How soon do you need to move?:
Home Style:
Stories/Floors:	12Split Level
Bedrooms:	12345678
Bathrooms:	11 1/222 1/233+
Square Footage:	1000-12501251-15001501-17501751-20002001-22502250-25002501-27502751-30003000+
Garage:	None1 Car1 1/2 Car2 Car2 1/2 Car3 Car3 1/24 Car+4 Car
Basement:	NoneApartmentCrawl SpaceFinishedFullHalfPartially FinishedUnfinishedWalkoutOther
Lot Size Acreage:	0 - .25.25 - .5.5 - 11 - 22 - 5over 5
Year Built:
Construction:	OtherWoodBrickVinyl Siding
How long have you owned this house?:
What is the current condition of the property?:	ExcellentGoodFairPoorTerrible
What kind of repair maintenance does the house need?:
How much do you think these repairs will cost?:
Is there anyone living in the house?:	Yes OwnerYes TenantNo
Is the Property currently listed for sale?:
Is the house currently listed with a realtor?:	YesNo
If yes, when does the listing expire?:
If no, has the house been previously listed?:	Yes No
Financial Information
1st Mortgage Balance :
1nd Mortgage Payment :
1rd Mortgage Interest Rate:
Fixed or Adjustable? :	FixAdj
Payments Current:	YesNo
If No, how far behind?:
2nd Mortgage Balance :
2nd Mortgage Payment:
2rd Mortgage Interest Rate:
Fixed or Adjustable? :	FixAdj
Payments Current:	YesNo
If No, how far behind?:
3nd Mortgage Balance :
3nd Mortgage Payment :
3rd Mortgage Interest Rate:
Fixed or Adjustable? :	FixAdj
Payments Current:	YesNo
If No, how far behind?:
How much are your total annual property taxes?:
Are your property taxes and insurance included in your monthly mortgage payment?:	YesNo
Do you pay Homeowner/Condo Association dues?:	YesNo
If so, how much per year?:
Comments:
Verification:	Fill in the text