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Thursday, December 4, 2025
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We Buy Houses

First Name:  
Last Name:  
Email:  
Day Phone:  
Evening Phone:  
Cellular/Pager:  
Best Time To Call:  


Your Situation		    
Do you need to sell your house fast?:   yes no
What's your situation? Why are you selling?:  
How soon do you need to move?:  


Your Property Information		    
Address:  
City:  
State:  
Zip:  
County:  
Bedrooms:  
Bathrooms:  
Square Footage:  
Year Built:  
Stories/Floors:  
Garage:  
Basement:  
Lot Size/Acres:  
How long have you owned this house?:  
What is the current condition of your property?:  
What kind of repairs and maintenance does the house need?:  
How much do you think these repairs will cost?: $
Is there anyone living in the house?:  
How long has the property been for sale?:  
Is the house currently listed with a Realtor?:   yes no
If Yes, when does the listing expire?:  
If No, has the house been previously?:   yes no
Price & Terms    
How much are you asking us to pay for your house?: $
How did you determine your asking price?:  
If we were to have your house appraised, how much do you think it would be worth?: $


  1st Mortgage 2nd Mortgage 3rd Mortgage
Balance $ $ $
Payment $ $ $
Interest Rate   %
yes no 		  %
yes no 		  %
yes no
 
Payments Current? yes no yes no yes no
If no, how far behind? $ $ $


How much are your total annual property taxes?: $
Are your property taxes and insurance included in your monthly mortgage payment?:   yes no
Do you pay Homeowner/Condo Association dues? If so, how much per year?: $
Would you sell your house for what you owe on it?:   yes no undecided
Would you be willing to receive any of your equity, if applicable, in the form of monthly payments?:   yes no undecided
Would you be willing to sell your house by allowing us to take over your monthly mortgage payments?:   yes no undecided
If we were able to buy your house in 7 Days or less, what is the least you could accept?: $
How did you hear about us?:  
Do you have any questions or comments you would like to share with us?:  
   


 

 
John Papas
Security Realty
Ph: (803) 254-6613  -  Fax: (803)-254-6615
2772 Rosewood Drive
Columbia, SC 29205
www.securityrealty.net

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