*Name:
Address:
City:
State:
Zip/Postal:
*Email:
Phone:
Best time to reach you (optional):
Questions and/or Comments:
Number of Bedrooms:
--- Select One ---
1
2
3
4+
Number of Bathrooms:
--- Select One ---
1/2
1
1 1/2
2
2 1/2
3
3 1/2
4+
Parking:
--- Select One ---
1 Car Garage
2 Car Garage
3+ Car Garage
Carport
On Street Parking
No Covered Parking
Basement:
--- Select One ---
Finished
Partially Finished
Unfinished
No Basement
Approximate House Size:
--- Select One ---
less than 1,000 sq ft
1,000 - 1,500 sq ft
1,500 - 2,000 sq ft
2,000 - 2,500 sq ft
2,500 - 3,000 sq ft
greater than 3,000 sq ft
Approximate Lot Size:
--- Select One ---
City Lot
1/2 Acre
1 Acre
2-5 Acres
5-9 Acres
10+ Acres
What type of home is it?
--- Select One ---
Single Family Home
Multi-Family Home
Vacation Home
Townhouse
Condominium
Other
How would you describe its condition?
Excellent
Good
Fair
Poor
Special Amenities:
Is your home currently listed on the real estate market?
No, My Home is Not Listed
Yes - For Sale By Owner
Yes - With a Real Estate Agent
How soon would you consider selling your home?
Immediately
Within 1-3 Months
Within 4-6 Months
Within 7-9 Months
Within a Year
Not Planning to Sell
What is your reason for selling?
--- Please Select ---
Relocating to new area
Downgrading or Upgrading
Divorce
My Mortgage payment is too high
Other
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