House Information Form Do you need to sell your house? Please complete the following form and we'll contact you about our House Buying Program. How do we contact you? First name Last name Email Phone Address City State Indiana Zip Code Home Information Why are you selling? Where is the house located? (Area / Subdivision) What is your monthly payment? Are the payments current? Yes No Do you have a second mortgage? Yes No What do you think the house will appraise for? What is the approximate square footage? How many bedrooms? How many bathrooms? Year house was built Does the home need repair? Yes No When do you need to move? How did you hear about us? Web Site Truck Graphics Newspaper Ad Friend Neighborhood Flyer Yard Sign Business Card Real Estate Investor Real Estate Agent Please enter any questions or comments. Questions ReCaptcha reset submit Thank you! Someone will contact you shortly. Please turn on javascript to submit your data. Thank you!
