Name:   Phone:   Cell:   Address:     City:   Zip:   Type of House:   Choose One: Bungalow Colonial Ranch Tudor Two-Family Square Feet:      No. Bedrooms:   1 2 3 4 5 No. Baths:   1 1.5 2 2.5 3   HVAC:  Choose One: Forced Heat w/Air Forced Heat Hot Water Steam Roof Age? years old Garage:   Choose One: 1 Car 2 Car 1.5 Car 2.5 Car Other   attached? Exterior: Choose One: Aluminum Vinyl Brick    Why are you selling this home? How long have you owned it?  Asking Price:  $    Estimated Value: $  From appraisal?  Your Opinion? Is home currently listed with a Realtor? Yes    No      if so,  Listing expires on:  mm/dd/yyyy Would you consider Seller Financing?   Yes    No    Minimum down payment? $ Total outstanding Mortgages due:   $    Total monthly payments:  $ Current 1st Mortgage interest rate:   2nd Mortgage interest rate: What's minimum cash you need right away? $  Will you sell for what you owe? Yes    No List known needed repairs: Are you in Pre-Foreclosure?   Yes    No Please describe where you are in the process:   How many months behind are you?     How much do you owe? When do you need to close by? (mm/dd/yyyy)  Is it currently occupied? Yes   No   If rented, what is the rent? Additional information or comments?