CONTACT INFORMATION
Name, First:
*
Last:
*
Address of
Property:
*
City:
*
State:
*
Choose One
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
--Canada--
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
Zip/Postal Code:
*
Email:
*
Phone:
PROPERTY INFORMATION
Relationship:
*
Choose One
Legal Owner
Renter
Potential Buyer
Other
# of Bedrooms:
*
Type of Property:
*
Choose One
Single Family Home
Multiple Family Home
Townhouse
Condominium
Manufactured Home
Mobile Home
# of Bathrooms:
*
Choose One
5+
0
1
1.5
2
2.5
3
3.5
4
4.5
5
Overall Condition:
*
Choose One
1 Poor
2
3
4
5
6
7
8
9
10 Excellent
Parking:
*
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Garage
Carport
On Street
Off Street
No Covered Parking
Lot Size / Acreage:
*
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City Lot
1/2 Acre
1 Acre
2-5 Acres
5-10 Acres
10+ Acres
Unsure
Garage:
*
None
Attached
Detached
Basement:
*
Choose One
Finished
Partially Finished
Unfinished
Crawl Space
None
Listing Status:
*
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Not Currently Listed
For Sale by Owner
Yes - With an Agent
Style of Home:
*
Choose One
Cape Cod
Colonial
Ranch
Raised Ranch
Other
Split 2-Level
Split 3-Level
Victorian
Planning to sell:
Choose One
Just Asking
Right Away
Within 90 Days
Within 6 Months
Within 12 Months
Approx Year Built:
*
Heat Type:
*
Choose One
Oil Heat
Natural Gas
Other
Pool:
No
Yes
Air Conditioning Type:
Choose One
None
Central Air
Window Units
Both Central and Window Units
Where will you be moving:
Additional Comments:
I would like to receive seller tips.
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