Tell Us About Your House

We Can Help!

Filling out this form and submitting it now is the quickest and easiest way to find out how we can help your family. We'll get back to you very soon to discuss our options!

Or, if you'd like more information before you tell us about your home, contact us by phone or e-mail (pps@askent.com) and we'll get right back to you with how we can help.

For more information and your free report Click here.

Fields with * are required.

Name*

Day Phone*

Evening Phone*

Email Address*

Street Address*

City*

County*

State*

Zip Code*

Subdivision Name (if any)

How did you hear about us?

School District?

Let's talk about the numbers...

How much do you owe on your house?*

1st Mortgage
Balance*

1st Mortgage
Payment*

1st Mortgage Holder*

2nd Mortgage
Balance

2nd Mortgage
Payment

2nd Mortgage Holder

Do you have an equity line on this house?

Balance

Payment

Holder

So the total monthly payment is *

Are the payments current?
Yes No

If no, how far behind?

Is the house attached to a bankruptcy? Yes No

How much do you need now for your house?

What do you think your house is worth?

How did you arrive at that number?

Real Estate Agent
Appraisals

Comparables
Tax Assessment

Guess

What is the most you think your house would bring?

Is the house occupied unoccupied

Does the house need repairs? yes no

If "yes," what kind?


Describe your house...

	Ranch	2-Story	Split Foyer	Split Level	Sq. Footage

	All Brick	Brick Siding	Wood Siding	Vinyl Siding		Stucco
					Lot Size

	# of Bedrooms	# of Baths	Formal Living Rm	Formal Dining Rm

	Fireplace	Ceiling Fans	Fenced	Pool		Sewer
						Septic

	Crawl Space	Slab	Basement	Finished	Age of Roof
				Unfinished

	Garage	Number of Cars	Central Air	Number of Units
	Carport

When was the house built?
How long have you owned the house?

It sounds like a nice place, why are you selling?

Is it listed with an agent? yes no

If yes, when does the listing expire?

For more information:
PPS - Your New Villa
Email: pps@askent.com
330-904-5964
Fax: 330-966-8514