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TELL US ABOUT YOUR HOME!

No matter what your circumstance is, please use this opportunity to let us know about your home and your current situation. All information provided below will be held in the strict confidence and will only be used in providing you with a great offer for your home. Our company is able to make cash purchases, short-term financing offers, and other creative offers that help create a win-win scenario for all parties involved. MPI has perfected the deferred sale concept to put more money in sellers' pockets.

If you are viewing this site, you have either been referred or have received a correspondence from us. Our goal is to exceed your expectations.

CONFIDENTIAL

All items market with an "*" are required to submit.

YOUR CONTACT INFORMATION

First Name*

Last Name*

Daytime Phone Number*

Evening Phone Number*

Mobile Phone Number

E-mail Address*

Best Time to Reach You*

Is Your Property Currently Listed?*

If "yes", when does your listing expire?

PROPERTY INFORMATION

Street Address*

City* State* Zip Code

Bedrooms* Full Bathrooms* Half Bathrooms*

Square ft. Garage Basement

Year Built Year home was purchased What is the current condition of your home?

Please use this section to discuss in further your ideal solution to your current situation. Please focus on reasons for selling your home, the condition of your home and reasons why your home may still be on the market.

PRICE AND TERMS

How much are you looking to net in the sale of your home?*

How much is your home worth? How did you arrive at this value?

                           First Mortgage                         Second Mortgage                         Third Mortgage

       Balance $                   $                   $
      Payment $                   $                   $
   Interest Rate

Are Payments Current? Do your payments include taxes and insurance?

How did you hear about us?*

After submitting this information on your home and reviewing our website, are there any questions or comments that you would like addressed as we prepare an offer for your home? Please do not hesitate to ask any questions.

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CONFIDENTIAL