Tell Us About YOUR Arizona House...

So that we can help you best, please complete all fields and we will get back to you. Thank you.

Your information remains Completely Private & Confidential. We will not disclose your information to anyone. Period!

Please complete all fields to the best of your ability. If you don't know the answer to a question, please put "don't know" in the field.

How did you come to know about us?

Your Full Name  

Your Email 

Daytime Phone  

Evening Phone  

Cell or Pager

Best Time to Reach You  

Do You Want to Sell Your House Fast?    Yes No

Tell Us Why You Want to Sell?

How Quickly Do You Need to Move?  

Your House Address (include the city & state):

Year House was Built  

Number of Bedrooms    Number of Bathrooms

Number of Stories

Living Area Square Footage sq ft

Lot Size Square Footage sq ft



What is the current condition of your house? What repairs are needed?

How much do you think those repairs will cost?   $

How long have you owned this house?   

Is anyone living at this house currently?

Is the house currently listed with a Realtor?

What do you think is a fair price for the house?   $

How did you arrive at this price?

If we got a professional appraisal, how much do you think the house will be worth?   $

1st Mortgage
2nd Mortgage

3rd Mortgage (if any)

Interest Rate % Fixed ARM % Fixed ARM % Fixed ARM
Payments Up-to-Date
If No, how far are you behind in payments? $  
Yearly Property Taxes $ per year  
Property Tax & Insurance Included in monthly mortgage payments? Yes No
HOA monthly dues? $ per month  

Will you sell your house for what you owe on it? Yes No

Are you flexible on how you receive your equity payments (if any)?Yes No

If we were to buy this house within 10 days or less, what's the least you'd accept? $

Use the space below for any additional notes you'd like to share

Your privacy and confidentiality are Important to us. We want to help you with your situation.
There is absolutely no obligation on your part.