MOTIVATED SELLER FORM
Fax Form To: 281-265-4186
Date of Fax: Time: AM PM Key Map No.:
CUSTOMER INFORMATION
How did you hear about us? (Source of information) Sign Flyer Business Card Ads Referral Other
Are you the owner? Yes NO Owner’s Name: Email:
Phone: Home Work Cell Pager
Address of Property Subdivision County Zip Code
Occupied? Self Renter Vacant Have you talked to a real estate agent? Yes No Currently Listed? Yes No
Is Property Foreclosing? Yes No If Yes, total $ to Reinstate Loan: How many months are you behind?
Would you sell the property for what you owe on it? If No, then why are you selling?
PROPERTY DESCRIPTION
# of Bedrooms 1 2 3 4 5 6 # of Bathrooms 1 2 3 4 ½ # of Car Garage 0 1 2 3 Attached Detached # of Story 1 2 3
Air: Yes No Age Central Heat: Yes No Age Exterior Frame? Brick Wood Both Has the house been flooded? Yes No
Total Square Ft. of House What kind of condition is the property in? (carpet, paint, appliances, etc.)
How old is the property? How long have you owned it? Ever Refinanced?
How old is the roof? What type of roof? Shingle (composition) Cedar (wood) What is the condition of the foundation?
FINANCING
What kinds of loan balances are on the property? See below.
First Mortgage Account #: Mortgage Company: Mortgage Co. Tel.:
First Mortgage $: Total Monthly Payment? (Includes taxes / insurance?) Yes No
Is it assumable? Yes No Do you need approval? Yes No Interest Rate: Other Fees:
Second Mortgage Account #: Mortgage Company: Mortgage Tel.:
Second Mortgage $: Total Monthly Payment? (Includes taxes / insurance?) Yes No
Is it assumable? Yes No Do you need approval? Yes No Interest Rate: Other Fees:
Do you have any tax liens, back taxes, judgments, or bankruptcies? How Much $?
If in bankruptcy, how many payments are in the bankruptcy plan? (still owed, just stalled)
What are you asking? When would you like to move out?
How much do you think your property would appraise for by a certified appraiser?
Have you had the property for sale? Yes No If yes, for how long? Why do think it has not sold?
Would you be willing to take some cash now and monthly payments for your equity? If yes, how much
How much cash would it take today in your pocket for us to make this deal?
If I could pay all cash and close quickly, what is the least you would take for the property?
If I guarantee your payments and maintenance until your house is sold, would you consider lease/option? Yes No
Do you have any other properties for sale or know of anyone who needs to sell their house? Yes No
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