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Keynote Property's Privacy Policy     

Sellers Information Survey     

* Required entry

 Contact Information:

 * Seller's Name:

     Co-Seller's Name:
     (if applicable)






  * Email Address:       

  * Property Address:
 (include city, state, zip)

Best time to 
contact you:

Preferred Contact by:
How did you hear about us:
Property Information:

      Sq. Footage:

Age of the home:
Features of the home: Bed Rm: Baths:
Garage: Basement: Yes  No
Levels: Construct:

Other features or details of the home:

What is the overall condition of the home?

Excellent     Good    Fair    Poor 

If repairs are needed, please describe items to repair:

Your situation:

* Why are you selling?

* When would you like us to purchase your home and take possession?

* How long has the home been on the market?

What have you tried so far?

List with Realtor    For Sale by Owner

Is the home currently listed?

Yes     No

If listed, until what date?

Is the home currently

Yes     No

Is the home your 
 personal residence?

Personal Residence     Rental

# of Years you've owned the home:

Which of the items to the right apply to your situation?

Next home currently

    being built

Purchased new home
Not buying another


Need 100% equity to

    next home


Company pays all my

    relocation costs

Financial Related:

If the home was appraised, what would it appraise for?

(ex. $150,000)

When you purchased the home, what was your purchase price?

(ex. $120,000)

What is your current list or asking price?

(ex. $140,000)


1st Mortgage:


2nd Mortgage

Balance Due Interest % Pmt Amt

Does the 1st Mortgage Pmt include Taxes/Insurance?

Yes     No

Are the Loan(s) Current?

Yes     No       If No,    Amt behind    

If we were to offer  cash and could close quickly, what is the
least $ amount you
would accept?

(ex. $132,000)

You may submit this form in any of the following ways:

  1. Fill out the form above and then click the "Send Survey" button to send the information to us.

  2. Print out the form then either Fax it to Keynote Property at (513) 631-7368 or

  3. Mail the form to:  

                     KeyNote Property

7672 Montgomery Rd., #340

                    Cincinnati, OH 45236


Once we receive your information someone from KeyNote Property will

contact you as soon as possible.  Thank you.

Note: All information on this form will be kept in the strictest of confidence. It will never be sold, traded, or given away without your permission. See the Privacy Policy link below for more information.

                  Keynote Property's  Privacy Policy