Fast Home Offer

Following is our FAST response form. Fill out this form as completely as possible and we will promptly contact you to discuss your options.
All information you provide on this form will remain confidential

YOUR PERSONAL INFORMATION

FULL NAME •

E-MAIL •

DAY TIME PHONE

NIGHT TIME PHONE

BEST TIME TO CALL

YOUR PROPERTY INFORMATION

PROPERTY STREET ADDRESS

CITY

STATE

ZIP CODE

THIS PROPERTY IS CURRENTLY: OWNER OCCUPIED
OCCUPIED BY RENTER
VACANT

No. OF BEDROOMS No. OF BATHROOMS

SQUARE FOOTAGE AGE OF THE HOUSE YEARS

GARAGE

CURRENT GENERAL CONDITIONS

PLEASE DESCRIBE ANY NEEDED REPAIR

CHECK ALL THAT APPLY

WOOD FLOORS	CARPETING	TILE
FORMAL DINING ROOM	FIRE PLACE	GAME ROOM
DECK	BRICK	SEPTIC TANK
CENTRAL A/C	CENTRAL HEATER	FLOOR FURNACE
PRIVACY FENCE	OTHER FENCE	WOOD STOVE
VINYL SIDING	STEEL SIDING	WOOD SIDING
OTHER SIDING	STUCCO	SWIMMING POOL
FINISHED BASEMENT	UNFINISHED BASEMENT

FINANCIAL INFORMATION

HOW MUCH YOU THINK THE PROPERTY IS WORTH
1st MORTGAGE CURRENT BALANCE
1st MORTGAGE PAYMENT AMOUNT
DOES THE 1sT MORTGAGE INCLUDES TAXES AND INSURANCE YES NO
ARE THERE ANY OTHER MORTGAGES ON THE PROPERTY YES NO
WHAT IS THE COMBINED BALANCE OF ALL MORTGAGES
WHAT IS THE COMBINED MONTHLY PAYMENT OF ALL BALANCES
ARE THERE ANY LIENS OR PROBLEMS THAT MAY AFFECT THIS PROPERTY?
ARE ALL MORTGAGE PAYMENTS CURRENT? YES NO
IF PAYMENTS ARE NOT CURRENT, HOW FAR BEHIND ARE THEY?

HAVE YOU RECEIVED A FORECLOSURE NOTICE? YES NO
HAS A FORECLOSURE SALE DATE BEEN SET? YES NO

IS THE PROPERTY CURRENTLY LISTED WITH A REAL ESTATE AGENT? YES NO

IF LISTED, WHEN WHEN DOES THE PROPERTY LISTING EXPIRE ?

ANY OTHER COMMENT YOU WISH TO ADD?

All information you provide on this form will remain confidential