Sellers

Name *

Phone Number *

Email Address *

Address *

When is the best time to contact you? When is the best time to contact you? Morning Afternoon Evening

What is your preferred method of contact? * What is your preferred method of contact? * Phone Email

First mortgage balance *

Second mortgage balance

HELOC balance

Are you current with the mortgages on your home? * Are you current with the mortgages on your home? * Yes No

Do you have any liens not mentioned above on the home? * Do you have any liens not mentioned above on the home? * Yes No

Are you aware of any judgements against you that would affect the property? * Are you aware of any judgements against you that would affect the property? * Yes No

Are you current with your HOA payments? Are you current with your HOA payments? Yes No

Are you aware of any violations or fines from the HOA? Are you aware of any violations or fines from the HOA? Yes No

No. of Bedrooms * No. of Bedrooms *1234567+

No. of Bathrooms * No. of Bathrooms *12345+

Estimated square footage *

Garage * Garage * Yes No

How many stories are in your home? * How many stories are in your home? *123+

Do you have a pool? If yes, is it in good, working condition? *

What is the age of the a/c (approximately)? *

What is the age of the roof (approximately)? *

Are you aware of any major issues with your home? If yes, what are they? *

Tell me about the condition of your home. *

How soon are you planning to move? *

Do you have another home to move into? *