www.BuyMyHomeRon.com

Tell Us About Your House

Yes, Please contact me about my home.

It is important that you fill out the form completely so that we can offer a solution that can solve your problem and make sense for us - a Win-Win Situation.

Property Information Form

First Name*

Last Name*

Email Address*

Home Phone*

Mobile Phone*

Work Phone

Property Street Address*

City*

State*

Zip*

Your Mailing Address, if different from Property Address*

Square Feet Main*

Bedrooms *

Bathrooms*

Master Bedroom on :*

Age of House?*

Occupied*?

Basement?*

Basement Sq Ft*

Basement Sq Ft Finished*

Air Conditioning*

Heat System*

Sewers*

Parking*

Homeowners Assoc fees*

Fireplace?*

Property Type*

Listed w/Realtor?*

Listing Price

Est. Home Value*

Source of Value

Asking Price*

House Style*

Assessed Value - if Known

House Brick on Exterior?*

List Appliances Included*

On a scale of 1 - 10, what is overall condition of your house (1 being poor and 10 being pristine)*

What is condition of carpet, scaled 1-10*

What is condition of paint, scaled 1-10*

What is condition of Roof, scaled 1-10?*

List Any Recent Repairs or Improvements (Roof, HVAC, Cabinets, flooring, painting, remodeling, etc)*

List Any Repairs Needed*

When do you need to sell?*

Why are you selling? Be explicit please - this will help us structure an offer that fits your needs*

Would you sell your house for what you owe on it?*

Would you allow us to take over your monthly payment?*

1st Mortgage:
Balance*	Interest* %	Payment*

Fixed or Adjustable*

Type Loan

Lender 1st Mortgage

2nd Mortgage or HELOC:
Balance*	Interest* %	Payment*

Fixed or Adjustable*

Type Loan

Lender 2nd Mortgage or HELOC

Are you Behind?*

Amount Behind $*

How did you find us?*

Are your property taxes and insurance included in your 1st mortgage payment?*

On a scale of 1 - 10, how badly do you need to Sell?*

Notes - List any other liens or judgments against the house*

Referred by:

To insure you are a real person, please enter "submitnow" in the following box and then hit the submit button:

NOTE: We respect your privacy and will keep your personal information strictly confidential

IMPORTANT NOTICE: (Required government notice)

Plum Properties LLC, Susan Breckel, LLC Basswood Realty Services LLC and/or any affiliated or related parties are not associated with any government agency or program, and our company is not approved by the government or your lender(s). Even if you accept this offer and use our service, your lender may not agree to change your loan or approve a short sale. If you stop paying your mortgage, you could lose your home and damage your credit rating.