| Seller's Information |
| First Name: |
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| Last Name: |
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| Marital Status: |
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| Spouse's Name (If Applicable): |
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| Address Street 1: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Property Information |
| Address of property you wish to sell: |
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| Is your property for sale now: |
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| Reason for selling: |
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| For sale by owner: |
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| For sale by realtor: |
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| How long has the property been on the market: |
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| Asking price: |
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| How did you arrive at this price: |
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| Monthly payment: |
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| How many bedrooms: |
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| How many full baths: |
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| How many half baths: |
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| Is there a dining room: |
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| Is there a garage: |
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| Size of garage: |
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| Is there a basement: |
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| If yes, is it finished: |
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| Is there a fireplace: |
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| Is there a fenced in yard: |
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| What do you like best about the property: |
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| What improvements would you like to see done to the property: |
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| Financial Information |
| When did you buy the property: |
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| What did you pay for the property: |
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| What do you owe on the property: |
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| Financed through: |
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| Monthly Payments |
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| Interest rate: |
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| Is it a fixed interest rate: |
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| Or an arm? Due to change when: |
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| Cost of insurance per year: |
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| Taxes per half: |
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| Are taxes and insurance included in your monthly payments: |
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| Did you have a down payment? If so, how much: |
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| Are you current on your payments: |
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| Do you have a line of credit on the property: |
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| If so, what do you owe on the line: |
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| What is the interest rate on the line: |
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| Are there renters in your neighborhood: |
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| What do they pay for rent: |
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| What do you think the rent would be for your property: |
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| Would you consider leasing/renting your property to House of Real Estate with an option to buy? Also known as rent-to-own: |
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| Do you need a house to move into: |
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| If so, do you want to buy, rent, or rent-to-own: |
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| What area are you looking to move into: |
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| Contact Information |
| Home Phone: |
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| Cell Phone: |
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| E-mail Address: |
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| Best time to reach you: |
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| Other Information / Miscellaneous Information |
| Have you ever filed for bankruptcy: |
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| If so, when: |
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| Have you ever been evicted: |
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| If so, when: |
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| Do you have any specific needs you would like to tell us about: |
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I authorize Margret-Ann Miller's House of Real Estate to verify
the above information. |
