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This form should be filled out if you have a home that you would like to sell quickly and easily at no cost to you.   Sellers Form     First Name *      Last Name      Address      City      State      Zip Code      Phone      Fax      Email *      Why are you selling?       Where is the house located? *      What is your loan balance?       What is your payment?       What are you asking for the house?       If we were to have the house appraised, what do you think it would appraise for?       When would you like to close?       Does the house need repair?       How many bedrooms and bathrooms?       What is the approximate square footage?       What is the construction?       Are you offering any terms?       Would you consider a lease option if we guarantee your payments and maintenance?     yes     no     Would you like to hear more about our Lease Option Plan?      yes     no     Comments          Verification Enter the letters you see in the image above. This ensures that a real person, not an automated program, is entering this information.  * Required Field          Please click only once.