Sell your house - Tell Us About Your House For a Quick Sale

Diverse Capital, Inc.

We Buy & Sell Real Estate Nationwide

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Sell your house - Tell Us About Your House For a Quick Sale

We respect your privacy. Privacy Policy

C O N F I D E N T I A L

Your Contact Information

*Your First Name

*Your Last Name

*Your Email

Day-time Phone Number

Evening Phone Number

Your Cell Phone

Fax

Your Street Number

Your Street Name

Your Zip

Your City

Your State

* What's your situation?
Why are you selling?

Property Information

Same as my home address above

Street Number

Street Name

Zip

City

State

Is the house currently listed
with a ®Realtor?

Yes No

If Yes, when does the listing expire?

mm/dd/yyyy

If No, has the house been previously
listed?

What kind of repairs or
maintenance does the
house need?

How much do you think
these repairs will cost?

$ e.g. 5000 (not 5,000)

Property Type

Approx. Square Feet

Age of Home

Bedrooms

Bathrooms

Pool

Yes No

Garage?

Yes No

Is it Vacant?

Yes No

Price And Terms

	1st Mortgage	2nd Mortgage	3rd Mortgage
Balance	$	$	$ e.g. 5000 (not 5,000)
Monthly Payment	$	$	$ e.g. 5000 (not 5,000)
Interest Rate	%	%	%
Adjustable Mortgage?	Fixed Adj	Fixed Adj	Fixed Adj
Are Payments Current?	Yes No	Yes No	Yes No
If Not How Far Behind?	$	$	$ e.g. 5000 (not 5,000)

How much are
your total annual
property taxes?

$ e.g. 5000 (not 5,000)

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?

$ e.g. 5000 (not 5,000)

*How much are you asking
us to pay for your house?

$ e.g. 5000 (not 5,000)

*How did you determine
your asking price?

*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 could
accept?

$ e.g. 5000 (not 5,000)

How did you hear about us?

C O N F I D E N T I A L

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