Buy As Is Home Solutions

Seller Form

Seller Information

Name

Address

City

State

Zip

Phone

Alt. Phone

Property Information

Square Feet

Lot Size

How Many Bedrooms?

How Many Baths?

Basement

No Yes Finished

Year Built

Available Through

Stories

Entry Level

Heating

Cooling

Garage
Cars

0 1 2 3

Parking

Driveway Parking Lot

Mortgage Balance

Mortgage Payment

Is the Property in Forclosure?

yes no

Are the mortgage payments current?

yes no

If No. How far behind are they?

Are you willing to sell your property for the Mortgage Balance?

yes no

Is this Property Occupied or Vacant

Occupied Vacant

What condition is the property in?

Please state what kind of repair this property needs.