Contact details:
First name
Last name
Email address
Phone
Property address
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Why are you wanting to sell your property?
Facing forclosure
Inherited property
Divorce or seperation
Downsizing or relocation
Tired of being a landlord
Financial hardship
Vacant or distressed home
Liens or code violations
Other
Prefer not to answer
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What is you preferred selling timeline?
ASAP (Need to sell right away)
Within 30 days
1-3 months
3-6 months
6+ months
Just exploring options
Not sure
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What is the property condition?
Excellent (move in ready, recently updated)
Good (minor repairs or cosmetic updates needed)
Fair (needs moderate repairs or upgrades)
Poor (major repairs needed, outdated systems)
Distressed (significant repairs or structural issues)
Tenant-occupied (currently being rented out)
Vacant (property is unoccupied)
Not sure/prefer not to say
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How much do you owe on the property?
$0
$1-$25,000
$25,001-$50,000
$50,001-$75,000
$75,001-$100,000
$100,001-$125,000
$125,001-$150,000
$150,001-$175,000
$175,001-$200,000
$200,001-$250,000
$250,001-$300,000
$300,001+
I am not sure
Prefer not to answer
Do you have any additional liens on your property?
I am not sure
Yes
No
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Any additional information you would like to add?
Additional information (optional)
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