Property Application Page

* First Name

* Last Name

* Address

* City

* State

* Zip Code

* County

* Home Phone

Cell Phone

Work Phone

* Email Address

* Best Way to Contact You   Home Phone Cell Phone Work Phone Email

* How Did You Find Us   Search Engine Sign Advertisement Direct Mail Friend Realtor

* Property Type   Single Family Townhome Condo Duplex Land

* Bedrooms   1 1.5 2 2.5 3 3.5 4 4.5 5

* Bathrooms   1 2 3 4 5

* Garage   1 2 3

* Listed With A Realtor?   Yes No

* Is the Home Occupied?   Owner Occupied Tenant Occupied Vacant

* Repairs Needed?

* Reason for Selling?

* Would you consider allowing us to take over your payments?   Yes No Undecided

* What would you estimate the value of your Home to be? $

* If we were to purchase your property "AS IS" and close FAST, what is the least amount you could accept?

* Do you have any other comments or questions?