Fill in this form as accurately as possible and click 'Submit It' it below, or you can print and fax this information to (860) 741-8265.  We guarantee offers to purchase within 48 hours.  Move when you're ready. All entries are strictly confidential.

Property Information Questionnaire

Date

mm/dd/yy

Name  

Street Address  

Address (cont.)  

City  

State  

Zip

Work Phone  

Home Phone  

Source  

Asking Price

Area  

Estimated Value

Reason For Sale  

Are your payments current?

Yes No

Does it need repairs?

Yes No

Is house listed?

Yes No

When do you want to move?

Will you sell your house for what you owe on it?

Yes No

 

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