Seller Questionnaire *Required *First Name *Last Name *Contact Phone 1 *Contact Phone 1 Type Please Select Home Work Mobile Other Contact Phone 2 Contact Phone 2 Type Please Select Home Work Mobile Other Email address *How did you hear about us? *Address of the property you're interested in selling? *City *State Please Select Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Outside US *Zip Code *Are you the owner of the property? Please Select Yes No If no, what's your relationship to the seller? Property type? Please Select Single Family Condo Townhome Multi-family Commercial Other If Multi-Family How many units? Average rent? If Commercial, describe How many stores? (1,2,3) Year built? Square feet? Exterior construction? Please Select Brick Block Siding Stucco Other Number of bedrooms? Number full bathrooms? Number half bathrooms? Heat Type? Please Select Natural Gas Propane Electric Heat Pump Baseboard Other Central air conditioning? Please Select Yes No Window Units Garage? Please Select Attached Detached Pole Barn Other None If Garage , how many cars? Swimming pool? Please Select Yes No *Property Listed with a Realtor? Please Select Yes No If listed with Realtor Realtors Name? Days on Market? List Price? Appraised value? Appraisal source? Please Select Refinance Realtor Purchase Best Guess Other *Asking price? Needed repairs? Estimated cost of repairs? Reson for selling? How's the neighborhood? 1st Mortgage Lender Name Approximate balance Monthly payment Taxes & Insurance included Please Select Yes No Not Sure Interest Rate Loan Type Please Select Adjustable Fixed Payments current? Please Select Yes No If no, how much past due? 2nd Mortgage Lender Name Approximate balance Monthly payment Taxes & Insurance included Please Select Yes No Not Sure Interest Rate Loan Type Please Select Adjustable Fixed Payments current? Please Select Yes No If no, how much past due? 3rd Mortgage Lender Name Approximate balance Monthly payment Taxes & Insurance included Please Select Yes No Not Sure Interest Rate Loan Type Please Select Adjustable Fixed Payments current? Please Select Yes No If no, how much past due? Anything else we need to know?