Information on You Your Name: E-Mail: (required) Your Mailing Address: City: State: Zip Code: Home Telephone: Work Telephone: Fax Number: Best Time And Method To Reach You: Morning Afternoon Evening Email ONLY Mail ONLY Information on Your Property Type of Property Please Select Single Family Townhouse Condominium PUD Duplex Triplex Fourplex Custom Cooperative Ranch Lots and Land Retirement Vacation Other What is the price range of your home Please Select $50,000 to $100,000 $100,000 to $150,000 $150,000 to $250,000 $250,000 to $350,000 $350,000 to $500,000 $500,000 to 1 million 1 Million+ Number of Bedrooms Number of Bathrooms Square Footage of Home Number of Stories Year Built Property Address Property City Zip Code Check All That Apply Family Room Den Formal Dining Room Laundry Room Fireplace Pool Spa Guest House Storage Basement Finished Basement
Air Conditioning Please Select Central Wall Unit(s) None Other Heating System Please Select Central Wall Unit(s) None Other View Please Select Bay Lake Ocean Canyon Natural Greenbelt Mountain City lights Neighborhood Garage Please Select Attached 1 car Attached 2 car Attached 3+ car Detached 1 car Detached 2 car Detached 3+ car Carport None Additional features or upgrades which should be considered.Helpful Information When are you planning on selling your home Please Select Immediately Less than 3 Months Less than 6 Months This Year Next Year Undecided Need to find a new home Please Select Yes No On a scale of 1-10 (1 = Poor and 10 = Excellent) Rate the quality of your home: Poor 1 10 Excellent
Rate how well your home will show (i.e. clean, uncluttered, good traffic flow, etc.) Poor 1 10 Excellent
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