Sell-Now Request Form

Congratulations!

You have chosen to take the uncertainty, waiting and hassle out of selling your house by selling to Your Capital Corporation. To begin this quick and easy process, just fill out the Sell-Now form below and click on "Submit" and we will call you very soon. If you prefer to talk to a real live person, just call us at

How did you hear about us? :	Internet Street Sign Direct Mail Ad Television Ad Referral Flyer Yellow Pages Other
First Name :
Last Name :
What is the street address of the property you are selling? :
What is the City, State and Zip of the property you are selling? :
Subdivision Name :
What is your current address? :
Phone (Day) :
Phone (Evening) :
Phone (Cellular) :
Fax :
Email :
Why are you selling? :
If you are living in the property, when do you want to move?  :
How many bedrooms and bathrooms does the property have? :
How many of the bedrooms or bathrooms listed above are below ground level? :
What is the style of the property? :	Colonial Ranch Split Cape Cod Bi-level Mother/Daughter Multi-Family Condo Townhouse Other
What other rooms does the property have? :
What is the approximate age of the property?  :
Please describe what repairs are needed  :
If the property has a garage, how many cars does it hold? :	No Garage 1 Car Attached 1 Car Detached 2 Car Attached 2 Car Detached 3 Car Attached 3 Car Detached 4 Car Attached 4 Car Detached More than 4
How would you describe the neighborhood?  :
How long have you owned this property? :
Are there any loans outstanding? :	Yes No
What is/are the loan balance(s)? :
How much is/are your current monthly mortgage payment(s)?  :
Does your monthly mortgage payment(s) include taxes?  :	Yes No
Is/Are the loan(s) current? :	Yes No
If late, how many months? :
If you had the property appraised, what do you think it would be worth?  :
If we could offer you quick cash and close quickly, what would be the least you would take?  :
How much are the property taxes? :
Is the property listed with a Realtor? :	Yes No
If listed with a Realtor, when does the listing expire?  :
Do you have tenants in the property?  :	Yes No
Do you have other properties to sell? :	Yes No
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