This form should be filled out if you have a home that you would like to sell on an option or lease option plan.
How did you hear about us? :
Name :
Address :
City :
State :
Zip Code :
Phone :
Fax :
Email :
Why are you selling? :
What is your loan balance?  :
What is your payment?  :
What are you asking for the house?  :
If we were to have the house appraised, what do you think it would appraise for?  :
When would you like to close?  :
Does the house need repair?  :
How many bedrooms and bathrooms? :
What is the approximate square footage?  :
What is the construction?  :
Are you offering any terms? :
Would you consider a lease option if we guarantee your payments and maintenance?  :
Would you like to hear more about our Lease Option Plan? :
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