online sellers form

First and Last Name:

Address of Property for Sale:

City, State and Zip Code:

E-Mail Address:

Daytime Phone with Area Code:

Evening Phone with Area Code:

Cell Phone with Area Code:

Are You the Owner?

If "NO", Please List the Owners Name:

How Quickly Do You Need To Sell?

Reason for Sale?

If "other" Please Specify:

Property Information

Property Type:

Property or Home Condition:

Estimated Value:

How Much Would You Sell For if You Could Get a Fast Sale Now?

Square Footage (if known):

Number of Bedrooms:

Number of Bathrooms:

Stories:

Age of Home:

Year House was Built (if known):

Pool?

Type of Pool:

Garage?

Is the Property Currently Occupied?

Is the Property Listed with a Realtor?

Mortgage Information

1st Mortgage Balance Estimate:

2nd Mortgage Balance Estimate (if applicable):

Monthly Payment:

Does Mortgage Payment Include Taxes and Insurance?

Are You Current On Payments?

How Many Payments Are You Behind?

Do You Have a Home Equity Loan?

Are You Current On Payments?

Home Equity Loan Balance Estimate:

Other Notes or Comments

The Professionals at JP Realty Investments can provide you with a fair offer on your house quickly and at a great cash price. We buy houses in any area, any condition, and in any price range. We promise to be courteous and professional.

Privacy is of the greatest concern for us. Your information will only be viewed by investors associated with JP Realty Investments.