What is your immediate need?

Sell your property      Catch up back payments     Take over payments

Relocation                 Sell a home from an estate       

How did you hear about i-buy-homes.com?

Select one Newspaper Friend Sign Bank (Other) Other:      

My motivation level is(1=low, 10=high) Select one 1 2 3 4 5 6 7 8 9 10

Address of house:   Apt.#   

City  State   

Number of bedrooms Select one 1 2 3 4 5 or more Number of bathrooms Select one 1 2 3   

Approx. Square feet Select one 500 600 700 800 900 1000 1100 1200 1300 1400 1500 1600 1700 or more  

First Mortgage amount $

Second Mortgage amount $

Third Mortgage amount $

Rate the overall condition of your house  Select one perfect almost perfect average below average disaster

Please tell us about the items that you know need repaired on your house:

Is the home vacant now? Select one Yes No No, but it can be in 30 days   

Name    
E-mail  
Tel     
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Please contact me as soon as possible regarding this matter.