Integrity Home Buying, LLC

CASH OFFER REQUEST
SUBMISSION FORM

Sellers: Please fill in this form if you would like a CASH offer on your property. This information will allow us to research the property and get back to you.

(*) Indicates a required field, but providing as much information as you can here will allow us to be as competitive as possible for you.

First Name*
Last Name*
Mailing Address*
City*
State*
Zip*
Daytime Telephone*
Evening Telephone*
Fax
Email*
Property Address*
Property City*
Property State*
Property Zip*
Name of Immediate Area
Is Home Currently For Sale*	Yes No
Listed with a Realtor*	Yes No
Number of Bedrooms*
Number of Baths*
Garage*	Yes No
	Size
Home Square Feet
Large yard or small*
Describe Condition*
Age of Home*
Number of Stories*
Number of Bedrooms Downstairs:
Fenced	Yes No
Elementary School
Middle School
High School
How long for sale
Asking Price*
Offering owner financing currently:	Yes No
Current loan assumable	Yes No
Payoff amount on that loan
How did you arrive at asking price?
Are you living in home?	Yes No
When could a buyer move in?
Why are you selling?*
If you could get all CASH, what is the lowest price you could take?
When do you need to close by?*
Other Comments:

NOTE: If you experience difficulties submitting this form, please print a copy of it and fax it to 804-741-6313 or mail it to: Integrity Home Buying, LLC P.O. Box 3986 Glen Allen, VA 23058

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