Florida Real Estate - Seller Request Form. Home Seller Specialists. Solutions to buy, sell or rent to own a home.

Seller's Request Form
Confidential

Filling out this form and submitting it now is the quickest and easiest way to find out how we can help you and your family. We'll get back to you within 24 hours to discuss your options.
Click here for printable form (PDF 34KB).

Please provide as much of the following information as you can.
* Indicates a required field

Contact Info
Are you the owner?		Owner's Full Name:	*
Contact Telephone:	*	Alt Telephone:
Email:		Fax:
Best Time to Call:
Property Address:	*
City	*	State: *	Zip: *

Property Info
How long owned:		Property Type:
How old is the house?		Bedrooms:
What is the construction?		Bathrooms:
What kind of roof?		Garage:
Square Footage:		Pool:
Listed with a realtor?		Property Occupied?
With a quick close and immediate cash payment, what is the lowest offer you would accept? $
How did you arrive at this price?
List any problems or repairs needed:
Why are you selling?
When would you like to move?

Mortgage Info

1st Mortgage Balance: $

Monthly Payment: $

Interest Rate: %

Does the monthly payment include taxes and insurance?

If yes to taxes, how much annually?

If yes to insurance, how much annually?

Is payment current?

If not current, how many months behind?

2nd Mortgage Balance: $

Monthly Payment: $

Interest Rate: %

Notes:

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