Home Sellers of Tampa Bay
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Seller’s Form
Seller’s Request Form
Please provide as much of the following information as you can.
Contact Information
*
Are You The Owner?
Yes
No
*
First Name
*
Last Name
*
Street Address
Address Line 2
*
City
*
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
*
Zip Code
*
Phone Number
*
Email Address
Property Information
*
Property type:
Commercial
Duplex
Mobile Home
Multi-Family (less than 5 units)
Multi-Family (more than 5 units)
Modular
Single Family
Other
*
Number of bedrooms:
1
1.5
2
2.5
3
4 or more
*
Number of bathrooms:
1
1.5
2
2.5
3 or more
*
Garage:
Not applicable
1 car
2 car
3 or more cars
*
Pool:
Yes
No
*
Property occupied?
Yes
No
*
How long owned?
*
How old is the house?
*
What is the construction?
*
Square Footage:
*
Listed with Realtor?
Yes
No
*
With quick close and immediate cash payment, what is the lowest offer you would accept?
*
List any problems or repairs noticed:
*
Why are you selling?
Mortgage Information
*
1st Mortgage Balance:
*
Monthly Payment:
*
Interest Rate:
*
Does first mortgage payment include taxes and insurance?
Yes
No
*
If Taxes is yes, how much annually?
*
If Insurance is yes, how much annually?
*
2nd Mortgage Balance:
*
Monthly Payment:
*
Interest Rate:
*
Comments:
*
Indicates Response Required
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