Seller's Questionnaire Form First Name * Last Name * Phone * Email * Street Address City State - Please Select - AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Approximately, how much do you owe on your Mortgage? * Is there a Second Lien Position or Mortgage on the Home? *Select your answerYesNo How long have you owned this Home? * How many Bedrooms are in the house? * How many Bathrooms are in the house? * Is there a Basement in the house? * Do you know the Approximate SQFT of your house? * Is there a HOA or Condo Association? *YesNo Water and Sewer Source (Please check all that apply) * Public WaterPublic SewerWellSeptic Is there a Deferred Water and Sewer Charge? *YesNo Are there any Leased Items? (Ex. Fuel Tanks, Solar Panels) * Are you aware of any issues with your home? (Ex. Water issues) * What is the Age of the Roof? * What is the Age of the HVAC? * What is the Age of the Water Heater? * Have any Windows been replaced since you bought? * YesNo Have you done any Updates or Renovations to the Home since Purchasing? * Have you came up with a Price you would like for your home? * YesNo Would you be interested in a CASH offer with no Closing Costs or Inspections? * YesNo Please describe your favorite features of your house * What are some things you dislike about your house? * Upload image:
