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CONTACT INFORMATION
Name:
Address:
City:
State:
Zip/Postal Code:
E-Mail:
PROPERTY INFORMATION
Purpose of Property:
Primary Residence
Secondary Residence
Vacation Home
Rental
Relationship:
Legal Owner
Renter
Landlord
Property Manager
Potential Buyer
Other
Type of Property:
Choose One
Single Family Home
Multiple Family Home
Townhouse
Condominium
Manufactured Home
Mobile Home
Overall Condition:
Choose From 1-10
1 Poor
2
3
4
5
6
7
8
9
10 Excellent
Lot Size / Acreage:
Choose One
City Lot
1/2 Acre
1 Acre
2-5 Acres
5-10 Acres
10+ Acres
Unsure
Approx. Square Footage:
Basement:
Choose One
Finished
Partially Finished
Unfinished
None
No. of Bedrooms:
Choose One
0
1
2
3
4
5
No. of Bathrooms:
Choose One
0
1
1.5
2
2.5
3
3.5
4
4.5
5
Parking:
Choose One
Garage
Carport
On Street
Off Street
No Covered Parking
Spaces:
Choose One
None
1 Car
2 Cars
3 Cars
More than 3
Listing Status:
Not Currently Listed
For Sale by Owner
Yes - With an Agent
Planning to sell?
Choose One
Right Away
Within 90 Days
Within 6 Months
Within 12 Months
How did you hear about us?
Choose One
Radio Ad
Online Banner Ad
Search Engine
TV Ad
Referral from Friend
Newspaper Ad
Postcard
Internet
Sign
Other