I Buy Homes in FL


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	How did you hear about us? *
	Name *
	Address
	City
	State
	Zip Code
	Email *
	Phone
	Cell Phone
	Is there any other names on the title?	Yes NO
	If Yes, Who?
	When do you want to move?
	Why are you selling?
	Are there any loans outstanding?	Yes No
	Is the any Second or Third Mortgages	Yes NO
	What is the current mortgage payment(s)?
	What is/are the balance(s)?
	Is/Are the loan(s) current?	Yes No
	Does any of the following apply? check all that apply	Tax Liens code violations Other Liens
	Does the house need repair?	Yes No
	In your opinion, how much?
	Please describe what repairs are needed
	How many bedrooms and bathrooms?
	What is the approximate square footage?
	What is the construction?
	How much are you asking me to purchase your house for?
	How did your determine your asking price?
	If I had the house appraised, what do you think it would appraise for?
	Is the house vacant or occupied?	Vacant Occupied
	If I could offer you to buy you house in 7 days or less, what would be the least you would take?
	How would you like for me to contact you?	Home Phone Cell Phone Stop By Email
	Best time to reach you
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