Fast Response Form

Following is our FAST response form. Fill out this form as completely as possible and we will promptly contact you to discuss your options.

For faster service call us direct!
352-351-0014 or toll free 800-933-7967

The information you provide on this form will remain confidential.

Personal Information
*Your name:
*E-mail address:
*Daytime phone:
(Please include area code)
Evening phone:
(Please include area code)
Best time to call:
Property Information
*Property street address:
*Property city and state:
The Property is currently:
Bedrooms:
Baths:
Square footage:
Age of House:
Garage:
What is the general condition of the house:
Property Interior Features
Please check all that apply:
Wood Floors Formal Dining Room
Carpeting Game Room
Tile Fireplace
Finished Basement Unfinished Basement
Property Exterior Features
Please check all that apply:
Swimming Pool Deck
Privacy Fence Other Fence
Brick Vinyl Siding
Steel Siding Wood Siding
Other Siding

Stucco

A/C, Heating, and Sewage
Please check all that apply:
Central Heat Central Air
Floor Furnace Wood Stove
Septic Tank
Additional Storage
Please check all that apply:
Crawl Space Slab
Storage Shed Shop
Mortgage Information
How much do you feel the property is worth:
1st mortgage balance:
1st mortgage payment amount:
Does the 1st mortgage payment include taxes and insurance:
Are there other mortgages on the property:
What is the combined balance of all mortgages:
What is the combined monthly payment on all mortgages:
Are all mortgage payments current:
If payments are current click here
If payments are not current, how far behind are they:
1st Mortgage $ Amount behind
# of payments
2nd Mortgage $ Amount behind
# of payments
Other Mortgage $ Amount behind
# of payments
Have you received a foreclosure notice:
Has a foreclosure sale date been set:
Sale date:
Additional Information
Is your property currently listed with a real estate agent/broker:
If property "is" listed, when does your listing expire:
Are you currently in bankruptcy:
*How did you hear about us:
Please provide any further comments that you feel are important in the box below...
 
 
 

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Tom Branan is a licensed Real Estate Agent in the state of Florida