Sell My House!   Contact Information       *Name:  *Daytime Phone Number:  Evening Phone Number:  Cell Phone Number:  Best Time To Call:  *E-mail:  *Re-enter E-mail:      *Required Fields   Property Information   Property Address:  City:  State/Province: Zip/Postal Code: County:    Is the house listed for sale  with a real estate agency?  Yes No   If you selected Yes, how much is it listed for?  How many bedrooms?  1 2 3 4 5+ How many bathrooms?  1 1.5 2 2.5 3+ Square Feet (approximately):  When was the home built?   How long have you owned the house?   Is the house lived in now?  Yes No How soon do you want to sell?  What is the approximate value?  Do you have a mortgage on this property?  Yes No First Mortgage Balance:  Second Mortgage Balance (if any):  Monthly payment including taxes and insurance:  What is your interest rate?  Is your interest rate fixed or adjustable?  Fixed Adjustable N/A Will you sell your home for what you owe?  Yes No N/A Are you behind on any payments?  Yes No N/A If yes, please detail:  What is your asking price?  How did you determine your asking price?  How motivated are you to sell?  Very Motivated Somewhat Motivated Just Curious I am:  Flexible on Terms Not Flexible on Terms   Please describe why you are selling. (It is important that you be as detailed as possible.)   Any other information about the house (new roof, new siding, pool, major repairs needed, etc.) How did you find our web site? Please be specific:

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