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.

The information you provide on this form will remain confidential

Tell us about you...
* Name:
Are you the owner or is anyone else on the deed?
Phone #: (Please include area code)
Tell us about the property...
Property street address:
Property Zip:
County
Subdivision
Is this your primary residence?
Style house:
No. of Bedrooms:
No. of Baths:
What is the general condition of the house:
Why are you selling?
When do you want to sell?
Please describe any needed repairs in this box:
Tell us about the numbers...
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:
Have you received a foreclosure notice:
Has a foreclosure sale date been set:
Sale Date:	(Please click on the calendar icon to select the date)
Just a couple more questions...
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:
Would you be willing to sell your house by allowing us to take over your mnonthly mortgage payment?
How much do you think it would rent for?
Do you have any other properties for sale?

David Ahlzadeh is a licensed real estate agent in the state of New Jersey