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	Seller Questionnaire: House
	Now it is time for you to help us to sell your house fast. Please fill out this form as completely as possible.

	Date	-- yyyy/mm/dd
	How did you hear about us?

	Contact Information
	First Name
	Last Name
	Street Address
	Address (cont.)
	City
	Province
	Postal Code
	Work Phone
	Home Phone
	FAX
	E-mail

	Property Information
	Street Address
	Address (cont.)
	City
	Province
	Postal Code

	Tell us about your situation
	Is the property vacant or occupied?	Vacant Rented Owner Occupied
	If vacant, please tell us why?
	When do you want to move?
	How long have you owned this property?
	How many bedrooms?
	How many bathrooms?
	Does your house have a garage or carport?	Garage Carport None
	Does your house have central heat and air?	Heat Air None Both
	Please describe any special features of the property
	What is the approximate square footage of the house?	Sq. Ft.
	What is the size of the lot in square feet?	Sq. Ft.
	What are the dimensions of the lot?	X
	What is the current zoning?

	What is the building material? (wood, stone, concrete)
	What is the approximate age of the property
	What type of roof?	How old?
	What type of plumbing?	Copper Galvanized Other
	What type of electrical wiring?	Copper Aluminum Knob & Tube
	Does the house need repair or clean-up?
	In your opinion, how much?
	Please describe what repairs are needed.

	Is your property currently listed with a realtor?	Yes No
	If we appraise the property, what do you think it would worth?
	If we could offer you quick cash and quick closing, what would be the least you would take?
	What is your current property tax?
	Are there any outstanding loans or mortgages?	Yes No
	What are the balances?
	Is the loan assumable?	Yes No
	Is the loan current?	Yes No
	If late, how many month?
	What is your current mortgage or loan payment?
	Are you willing to sell for what you owe plus moving costs?
	Are there any liens or judgments against your property?	Yes No

	Please write your comments below.

	We will review your information and contact you shortly to discuss any options you may have for selling your property.
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