You want to Sell. We want to Buy.

You can't beat that!

You are one click (or phone call) away from getting rid of that mortgage headache once and for all!  Simply fill out the attached form and one of our representatives will contact you within 48 hours.

If you would rather talk to someone right now, you can call 24 hours a day, 7 days a week and we can start the process now!

Your Contact Information

Live Operator Input? (Administration use only)

*Name:

Email:

*Day Phone:

Evening Phone:

Cellular/Pager:

Your Situation

Why are you selling?

How soon do you need to move?

Why?

Your Property Information

*Address:

*City:

*State/Province: AB AL AK AR AZ BC CA CO CT DE DC FL GA HI IA ID IL IN KY KS LA MA MB ME MD MI MN MO MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE PR RI QC SC SD SK TN TX UT VA VI VT WA WI WV WY YT

*Zip/Postal:

Subdivision:

* Does the house need repairs? Yes     No

If Yes, how much do you think these repairs will cost? $

Is the house currently listed with a ®Realtor? Yes     No

If Yes, listed at what price? $

Your Sale & Loan Information

How much are you asking us to pay for your house? $

How did you determine your asking price? Appraisal Realtor Tax Assessment Best Guess Comparables

If we were to have your house appraised, how much do you think it would be worth? $

	1st Mortgage	2nd Mortgage or Home Equity Line of Credit
Balance	$	$
Payment	$	$
Interest Rate	%	%
Lender

Payments Behind? Yes     No

If Yes, how far behind? $

Are your property taxes and insurance included in your monthly 1st mortgage payment? Yes     No

Would you sell your house for what you owe on it? Yes     No     Undecided

Would you be willing to receive any of your equity, if applicable, in the form of monthly payments? Yes     No     Undecided

Would you be willing to sell your house by allowing us to take over your monthly mortgage payments? Yes     No     Undecided

If we were able to buy your house in 7 Days or less, what is the least you could accept? $

How did you hear about us?

*Items marked with a red asterisk are required.

Thank you for taking the time to share your information about your home with us. We will review your information and contact you shortly. If you have any problem submitting this form, please contact us and let us know