| First Name | Last Name |
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| Home Phone | Cell Phone | Work Phone |
| E-mail Address | ||
| Street Address of House | City | State |
| Zip | County | Subdivision (if any): |
| Number of Bedrooms? | Number of Bathrooms? | Number of Floors? |
| Estimated Square Feet? | Estimate Lot Size? | |
| Basement? | Garage? | Carport? |
| Is House Occupied? | Is House Listed with an Agent? | Age of House? |
| Monthly Mortgage Payment? | Estimated Home Value? | Do you want to sell your house eventually? |
| 1st Mortgage Payoff Amount? | 2nd Mortgage Payoff Amount? | Current on Payments? |
| Reason for Leasing? | How Fast do You Need to Lease? | If not current, amount you owe? |
| How Did You Hear About Us? | Comments? | |
|
Agents Click Here |
| What is a lease option? |
| What is owner financing? |
| What is my home worth? |
| How long will it take? |
|
Please fill out the following
form. Try to complete all sections so that we can give you an accurate
lease or sale option. An investor representative will get back to you as soon as
your information has been reviewed and researched (usually within 48 hours).
We will call you if any more information is needed. Thank you!
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