Please fill out the following form about the house, apartments, or real estate you want to sell. This Form is Confidential and Remains in Our Office. It will NOT be forwarded to any other party.

* indicates a required field

* Street Address:
* City, State, Zip Code:
* Your Asking Price:
* Your Name:
* Cell Phone:
* Alternate Phone:
Email:
Please provide some details about the property
      Square Feet:
   Approximate Year Built:
   Style:
Construction:
              
Check All That Apply:
                    
Please Describe Repairs Needed including Paint & Carpet:
Reason For Sale (Check All That Apply)
                                
EXISTING LOAN INFORMATION:
Payment Made to:
Balance:
Monthly Payment:
Payment Includes:
                 
Interest Rate:
     
Number Payments Behind:
Equity Line or 2nd Loan Lender:
Amount Owed:
   Payment:
Interest Rate:
   Number Behind?
Comments - Anything You Feel May Be Helpful
You May Upload Some Photos:
Photo1:
Photo2:
Photo3:
Photo4:
Photo5:

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