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Partners Construction & Investments, LLC 1128 Eastlake Blvd, Suite 120 Tarrant, AL 35217 (205) 841-9757 OFFICE (205) 841-9767 FAX Email: partners1130@charter.net Your Information First Name * Last Name * Day Phone * 123-456-7890 Evening Phone 123-456-7890 Cellular Number/Pager 123-456-7890 Best Time to Call Anytime Morning After Noon Evening Night Email * Your Property Information Address City * State * Please select a state Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Canada Zip Do You Need To Sell Your House Fast Yes No Why are you selling your house? How soon do you need to move? Home Style Stories/Floors 1 2 Split Level Bedrooms 1 2 3 4 5 6 7 8+ Bathrooms 1 1 1/2 2 2 1/2 3 3 + Square Footage 1000-1250 1251-1500 1501-1750 1751-2000 2001-2250 2250-2500 2501-2750 2751-3000 3000+ Garage None 1 Car 1 1/2 Car 2 Car 2 1/2 Car 3 Car 3 1/2 4 Car +4 Car Basement None Apartment Crawl Space Finished Full Half Partially Finished Unfinished Walkout Other Lot Size Acreage 0 - .25 .25 - .5 .5 - 1 1 - 2 2 - 5 over 5 Year Built Construction Other Wood Brick Vinyl Siding How long have you owned this house? What is the current condition of the property? Excellent Good Fair Poor Terrible What kind of repair maintenance does the house need? How much do you think these repairs will cost? Is there anyone living in the house? Yes Owner Yes Tenant No How long has the property been for sale? Is the house currently listed with a realtor? Yes No If yes, when does the listing expire? If no, has the house been previously listed? Yes No Financial Information Balance 1st Mortgage 2nd Mortgage 3rd Mortgage Balance $  $  $  Payment $  $  $  Interest Rate % Fix Adj % Fix Adj % Fix Adj Payments Current Yes No Yes No Yes No If No, how far behind?  $  $  $  How much are your total annual property taxes? $  Are your property taxes and insurance included in your monthly mortgage payment? Yes No Do you pay Homeowner/Condo Association dues? If so, how much per year? Yes No $  Price & Terms How much are you asking us to pay How did you determine your asking price Appraisal Realtor Tax Assessment Best Guess Comparables If we were to have your house appraised, how much do you think it would be worth Would you sell your house for what you owe on it Yes No Undecided Would you be willing to receive any of your equity, if applicable, in the form of monthly payments? Yes No Undecided Would you be willing to sell your house by allowing us to take over your monthly mortgage payments Yes No Undecided If we were able to buy your house in 7 Days or less, what is the least you would accept? How did you hear about us Search Engine "Link From a Site" TV Ad Print Ad Radio Ad BillBoard Road Side Sign Word Of Mouth Do you have any questions or comments you would like to share with us     Call us to get pre-approved! Chartwest Mortgage, LLC (205) 849-8300 Refinance + Conventional + FHA E-mail: charterwestmortgage@charter.net Copyright © 2002 Partners Construction & Investments, LLC