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Property Address
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City
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State
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Zip code
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Does the house have a garage?
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Yes
No
How many bedrooms?
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1 Bedroom
2 Bedrooms
3 Bedrooms
4 Bedrooms
5+ Bedrooms
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How many bathrooms?
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1 Bathroom
2 Bathrooms
3 Bathrooms
4 Bathrooms
5+ Bathrooms
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How many stories is the house?
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1-Story
2-Story
3+ Stories
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Does the house have a basement?
*
Yes
No
Financial Situation & Selling Timeline
What’s the condition of the property?
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Move-in Ready 🏡
Needs Minor Repairs 🔧
Needs Major Repairs 🏚
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Why are you selling?
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Is your home currently listed with a real estate agent?
Yes
No
Do you have a mortgage on the property?
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Yes
No
Financial Situation & Selling Timeline
How much do you still owe?
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Financial Situation & Selling Timeline
Are you currently in pre-foreclosure?
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Yes
No
Financial Situation & Selling Timeline
How far along are you in the process?
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Just received notice
60-90 days left
Less than 30 days left
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Financial Situation & Selling Timeline
When do you need to sell?
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ASAP 🚀
Within 30 Days 📅
1-3 Months ⏳
3+ Months 🕰
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Contact Information & Next Steps
First Name
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Last Name
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Phone Number
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Email Address
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Best Time to Contact You?
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Morning
Afternoon
Evening
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