Information Request


Find Out What We Can Do for You
Just Fill Out the Form Below and Click "SUBMIT".
We will contact you with an offer within 3 business days.
Give us a call at 757-635-0608 if you need an answer sooner.


- Your Personal Contact Information -

Name
Address
Unit #
City
State
Zip
Name On Deed
Daytime Phone
Evening Phone
Fax
Call Before Faxing?
Yes  No
Additional Phone
Email Address
Reason For Selling
How did you hear about us?
If other, please explain

- Property Information -

Address
Unit #
City
State
Zip
Asking Price
$
Mortgage Owed
$
Payments Current?
Yes No
Home Owners/Condo Fees
$


- Occupancy Information -

Occupancy
Lease Type


- Property Features -

Property Type
# of Floors  
# of Bedrooms  
# of Bathrooms  
# of Half Bathrooms  
Basement  
Basement Type  
Garage  
Assigned Parking Spaces  
Property Upgrades or Improvements Made to Home  
Other Repairs Needed  
Roof   yes no
Paint   yes no
Carpet   yes no
Furnace   yes no
A/C   yes no
Windows   yes no
Cabinets   yes no
Exterior   yes no


©Copyright 2003 Safra Properties, LLC. All rights reserved.