Request Form

We Buy Florida
Seller Request Form

SELLERS REQUEST FORM

Please provide the following information so that Rod Khleif, Al or our staff may help you.

Choose a county near you:

Contact Information

First name: Phone number:

Last name: Alt. phone number:

Are you the owner?: Your email address:

How did you find us?:

Property Information

Property type: Pool:

Square footage: Listed with a realtor:

Bedrooms: Occupied:

Bathrooms: Estimated value:

Garage: Current asking price:

Property address:

City:

State: Zip:

List needed repairs:

Reason for selling:

Mortgage Information

1st Mortgage 2nd Mortgage

Balance: Balance:

Interest rate: Interest rate:

Monthly payment: Monthly payment:

Amount in arrears: Amount in arrears:

Payment includes taxes and insurance

Notes: