Sell Your Mobile Manufactured Home to Mystic Realty!

MOBILE HOME PROPERTY INFORMATION FORM

First Name* Last Name* Email Address* Prefered Contact Phone* Alternate Phone Work Phone Property Address* City* State / Zip* AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY / Approx. Square Feet* Bedrooms/Bathrooms* 1 2 3 4 5+ 1 1.5 2 2.5 3 3.5 4+ Single or Double Wide? -- Select -- Single Double     Must The Home Be Moved? -- Select -- No Yes Property Type -- Select -- Mobile Home Mobile Home Lot Land Mobile Home Park R.V.     Home comes with land? -- Select -- No Yes Mobile Home Manufacturer. Est. Home Value Source of Value -- Select -- Appraisal Realtor CMA Tax Value Guess Other Asking Price Asking Price for Cash List Any Repairs Why are you selling? 1st Mortgage: Balance $ Interest %  Payment $ 2nd Mortgage: Balance $ Interest % Payment $ Are you behind on your payments? -- Select -- No Yes In Foreclosure     Amount Behind How did you find us? -- Select -- Google Yahoo Bing Other Search Engine Craig's List Radio TV Print Ad Word of Mouth Billboard Road Sign Other Notes

Mystic Realty 4321 Kingwood Dr Suite # 169 Kingwood, TX 77339 Phone: xxx-xxx-xxxx Fax: xxx-xxx-xxxx Email: sales@mysticrealtytx.com