Web-to-Lead Test 2 | BrasCo Home Buyers – We Want to Buy Your House

Your Name*

First Last

Address*

Street Address City State ZIP Code

Enter in the info about the property you need help finding a solution for.

Type of Seller*

Email*

Phone*

Your best contact number

Property Information

Excellent. We need a bit more info about your situation so we can provide you with your options and an instant cash offer.

Please complete this form below so we can learn more about your property. If you don't have the answers handy for some of the fields below, just leave them blank for now.

Type of Property

Bed Rooms*

Bath Rooms*

Half Baths*

Square Footage?*

Other Rooms

Separate Dining Room
Living Room
Separate Den / Media Room
Study
Game Room

Select All that apply

Basement

Garage*

Water & Septic*

City Water & Septic
Onsite Septic
Community Well
Onsite Well

Other Amenities to consider

Does this property have any other value added amenities to consider? Such as a Swimming Pool, Gym, Sun-room, Covered Deck, Solar Power, High Speed Internet, Security System, Irrigation System, Ect.

How long have you owned the property?*

What is the current condition of the property?*

Type of repairs and maintenance needed? Estimated Costs?*

Is there anyone living in the house?*

Is the house currently listed with a realtor?*

Your Situation

Do you need to sell your house fast?*

Approx Balance Owed

Optional but helps us determine if a short sale may be needed.

Financial Information*

Whats your ultimate goal with your house?*

What do you want for the house? What are some goals that we may be able to help with?

Asking Price

How flexible are you

Best Time to Call*

How did you hear about us?*

Name

This field is for validation purposes and should be left unchanged.

Web-To-Lead Test

Property Information

Your Situation