*Asking Price:
	*Market Value:
	*This house is:	OccupiedVacant
	Square feet:
	*Number of Bedrooms:
	*Number of Baths:
	*Number of Half Baths:
	*Garage or Carport:
	Lot dimensions/size:
	*Mortgage Balance:
	*Monthly payment:
	*Second mortgage:	YesNo
	Second mortgage balance:
	Second mortgage payment:
	*I'm selling because:
	*Your Name:
	*Your Address:
	*City:
	*State:
	*Zip:
	*Phone Number:
	Email address:
	Best time to call:
	Would you consider allowing us to purchase the property for what you owe?	YesNo
	Would you consider a lease/option?	Yes No
	Would you consider owner finance?	Yes No
	Does the property need repairs?	YesNo
	If yes, please list repairs
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