We Can Buy Your Mobile Home ... FAST!

As a matter of fact, we can usually make an offer on a home almost immediately as soon as the information on this form is processed. We are ready to move quickly and can usually handle any size of transaction.

Contact Information
We are asking for a lot of information in the Contact Information area. The reason is simple. If we are working with you in regard to a property, timing is frequently what makes a transaction happen. If we can't reach you to ask or answer a critical question, a potential opportunity might be lost. Don't worry, we will never bother you with unimportant issues and we will carefully respect and protect your privacy.
Name :
Address :
City :
State :
Zip Code :
Home Phone :
Cell Phone :
Other Phone :
Fax :
Pager :
E-Mail :
What is the best time to contact you? :	Morning (Before Work) Morning Lunchtime Afternoon Evening Anytime
General Information
Why are you selling? :
When would you like to close?  :
Is the mobile home currently vacant? :	Yes    No
Mobile Home Information
Is the home on its own lot, or in a community? :
If on its own lot, what is the property size? :
What year was the home manufactured? :
What manufacturer and model is the mobile home?  :
Is the home a single or double wide? :
What are the dimensions? :
How many bedrooms? :
How many bathrooms? :
What is the approximate square footage?  :
Does the home need repair?  :	Yes    No
If repairs are needed, please explain what they are below: :
Mobile Home Community
What is the name of the community in which the home is located? :
What is the lot rent per month? :
What is the telephone number of the office? :
Is this a retirement community? :	Yes    No
Financial Information
What are you asking for the home?  :
If we were to have the home appraised, what do you think it would appraise for?  :
Are you offering any terms? :
What is your loan balance?  :
What is your payment?  :
Can you sell us your mobile home for the total balance of your loan(s)? :	Yes    No
If not, how much cash do you need right now? :
If you take some cash now (shown above), how much will you need later to complete this transaction? :
Would you like to hear about other creative ways we could buy your home? :	Yes    No
Marketing
How did you hear about us? :
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