PROPERTY INFORMATION

* = required information

* First Name :

* Last Name :

* E-mail Address :

* Phone Number :

Best Time To Call : Morning Afternoon Evening Any

* Property Street Address :

* City :

State : CT (property must be in CT)

* Zip Code :

* County : Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham

* Property Type : Single Family Townhouse/Rowhome Multi-Family (2-4 units) Condo Mobile Home Other

If Multi-Family, No. of Units :

* No. of Bedrooms : (total of all units if multi-family)

* No. of Bathrooms : (total of all units if multi-family)

* Square Feet :

* Preferred Transaction Types/Services (check all that apply) :

Lease with Purchase Option Minimum number of selections not met.Maximum number of selections exceeded.

Property ManagementMinimum number of selections not met.Maximum number of selections exceeded.

Sale via Owner Financing Minimum number of selections not met.Maximum number of selections exceeded.

Sale - Outright Minimum number of selections not met.Maximum number of selections exceeded.

Rental (without purchase option) Minimum number of selections not met.Maximum number of selections exceeded.

Other : Minimum number of selections not met.Maximum number of selections exceeded.

What is your situation and why are you selling (and/or renting) ?

* Asking price : $ (enter 0 if not applicable)

* Asking rent : $ (enter 0 if not applicable)

* Length of lease/option term (or balloon period) : less than 1 year 1 year up to 2 years up to 3 years up to 5 years more than 5 years N/A

* Is property occupied ?

Yes No

For single family houses, if occupied, how much time would be needed to vacate ?

30 days or less 30-60 days more than 60 days

* Is the house currently listed with a broker ?

Yes No

How long has property been on the market ? 30 days or less 30-90 days 90-180 days more than 180 days N/A - property not listed

What is the current condition of the property ?

Good Fair Poor

What kind of repairs or updating does the property need (if any)?

How much do you think these repairs would cost ?

Is property mortgaged ?

Yes No

Total owed on property (if anything) : $

Total monthly payments including tax and insurance : $

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If have 1st mortgage, is this loan current ?

Yes No About to be behind N/A

If this loan is late, amount behind : $

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If have 2nd mortgage, is this loan current ?

Yes No About to be behind N/A

If this loan is late, amount behind : $

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Are there any additional property loans, third party liens, judgments, etc. ?

Yes No

If answered 'Yes' to above, what are the details ?

* How did you hear about us ? Internet Website Word of mouth Search Other

Questions, Comments or Additional Info :