Midstate Property Group - 202 State St., Harrisburg, PA 17101 - 717-571-0456

Seller Request Form

SELL YOUR HOUSE FAST- Right NOW- Its Easy - for Cash!
You can be free of the burdens, free of the hassles.
No more sleepless nights worrying. Don't Wait!
Yes, We Buy Houses "As IS".
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Please fill out this confidential form and we will contact you ASAP. Regardless of your situation, we do our best to help you find a solution and make you a solid offer on your property. Please give us as much information as possible.

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Your Personal Contact Information

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Your Situation

What's your situation?

Why are you selling?

Your Property Location

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Street address:

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Your property information

Is the House Occupied?

Is the house listed with a realtor?

Relationship Status:

# Bathrooms:

# Bedrooms:

Garage:

Basement:

Swimming pool:

Approximate heated Square Footage:

Overall condition of property:

List of Repairs Needed:

Estimated Value of House AS IS:

Least you'd accept, if we
were to buy AS-IS for CA$H, and close now:

Mortgage information

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Second

Balance (numbers only):

Monthly Payment (numbers only):

Interest rate:

Does the payment
include taxes
and Insurance:

Are you current on
your payment:

If behind on
payments, how
many months:

Amount needed to
bring loan current:

Do you have other
liens against property:

Amount of lien(approx.):

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Seller Request Form

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We take your privacy very seriously. We don't sell your email address or personal contact information to anyone. By submitting the information, you are subscribing to our property email notification list. We will send you an email each time a new property becomes available as well as status updates. At the bottom of each email is a link that will allow you to unsubscribe from our list at any time.