For homeowners

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Please fill this out as thoroughly as you can. This information is very important and necessary to generate an agreement for your review. Filling out this form creates no obligation, it is only to gather the information needed to write up your agreement.

Only the seller name, the property address, occupancy, and a way to reach you are required. Please do not include Social Security numbers, dates of birth, bank account numbers, or mortgage account numbers. Lender name and approximate balance are enough.

The sellers

Seller 1, full legal name *

Seller 2, full legal name

Marital status

Anyone else named on the deed?

Current mailing address (where you live now)

Seller 1 phone

Seller 1 email

Seller 2 phone

Seller 2 email

Best way and time to reach you

The property

Property address *

County

Property type

Bedrooms

Bathrooms

Approx. square feet

Year built

Subdivision / neighborhood

Occupancy

The home is currently *

If rented, tenant name

Current rent, per month

Lease ends

Date the home will be available

Mortgage and loan

Lender / servicer

Approx. loan balance

Interest rate

Monthly payment (including escrow, if any)

Are payments current?

Second loan, HELOC, or other lien?

Loan notes, for example foreclosure notice, forbearance, or prepayment penalty

Taxes, insurance, and HOA

Annual property taxes

Annual insurance premium

Is there an HOA?

HOA dues

HOA name

HOA phone or email

HOA notes, for example special assessments or restrictions

Condition and repairs

Overall condition

Approx. age of roof

Heating / AC system

Repairs needed or known problems

Recent updates or improvements

Your situation and timeline

What price are you hoping for?

When do you need this resolved by?

Why are you looking at this option?

Has the home been listed before?

If listed, at what price and when?

Do you have a listing agent?

Agent name and contact, if any

Anything else we should know before we prepare an agreement?

All information you share here is held confidential. We never sell your information.

This form sends your information directly to STAY Homes. It does not store your details on this site. Terms are governed by the written agreement for each home.