Cash Offer Form Please fill out as much of the information as you have available. This allows us to give you the most accurate offer we can. Your Name First Last Day PhoneEvening PhoneCell PhoneBest time to callAnytimeMorningAfternoonEveningEmail Your SituationNeed to Sell Fast?YesNoWhy do you want to sell your house?SelectAvoid mortgagee saleRelocation/Job transferDivorceeBad tenantsBehind on paymentsBought another homeFire or flood damagedInherited estate to sellVacancyExpired listingNeeds repairOther...Other...How soon do you need to move?As soon as possibleWithin 3 monthsWithin 6 monthsWithin 1 yearHow much finance do you need in order to move?Property InformationAre you the property owner?*YesNoOwner's nameAddress* Street Address Suburb City Province Postal Code BedroomsBathroomsSquare MetresSection SizeStories/FloorsBasementYesNoYear BuiltGarageSelectNoneRoadside parkingCar port1 Car2 Cars3 Cars3+ CarsProperty TypeSelectHouseApartmentTownhouseUnitVacant sectionApartment buildingCommercial buildingOther...Other...How long have you lived in the house?What is the property's condition?SelectMint conditionVery goodOkNeeds workNeeds major repairsWhat repairs are needed?Estimated cost of repairs?Is anyone living in the house?Is the house listed with a Real Estate Agent?YesNoExpiry Date of listing Day Month Year Time on the market?RV (Rateable "Government" Valuation)?Annual property rates?What do you think the house is worth in today's market?How did you arrive at this value?SelectRegistered evaluationReal Estate AgentRateable ValueQV OnlineOther...Other...Mortgage 1 InformationMortgage 1: BalanceMortgage 1: PaymentsMortgage 1: Interest Rate %Mortgage 1: Interest Rate TypeSelectFixedFloatingCappedBalloonOther...Other...Other feesAmount OwingMortgage 2 InformationMortgage 2: BalanceMortgage 2: PaymentsMortgage 2: Interest Rate %Mortgage 2: Interest Rate TypeSelectFixedFloatingCappedBalloonOther...Other...Other feesAmount OwingMortgage 3 InformationMortgage 3: BalanceMortgage 3: PaymentsMortgage 3: Interest Rate %Mortgage 3: Interest Rate TypeSelectFixedFloatingCappedBalloonOther...Other...Other feesAmount OwingOffer InformationCurrent Total Amount OwingWilling to sell for the amount owed?*YesNoUndecidedWilling to receive payments in regular instalments?*YesNoUndecidedHow much would you sell for if you could get a fast cash sale now?*NameThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.