Diverse Capital, Inc
 
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Sell your house - Tell Us About Your House For a Quick Sale

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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
 
* What's your situation?
Why are you selling?
Property Information
*Street Number
 
*Street Name
 
*Zip
 
*City
 
*State
What kind of repairs or
maintenance does the
house need?
 
Property Type
Approx. Square Feet
 
Year Built
Bedrooms
Bathrooms
Garage?
Yes  No 
Is it Vacant?
Yes  No 
Price And Terms
   1st Mortgage  2nd Mortgage
* Balance  $  $
 Monthly
Payment
 $
*Are Payments
Current?
  Yes  No   Yes  No
If Not How Far
Behind?
 $  $
Total Lien Amount
(if more than 1,
list each separately)?
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)  
*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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