Property Information
Property Address
Square Footage
Number of Bedrooms
Number of Baths
Home's Overall Condition
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Poor
Fair
Good
Very Good
Excellent
Upgrades and Amenities
Comments
Additional Information
Are You Working with a Realtor?
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Yes
No
Do You Plan to Sell Your Home?
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Within 30 days
45 - 60 days
6 months
1 year
unsure
Do You Plan to Sell Your Home Yourself?
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Yes
No
Contact Information
Name
Email Address
Daytime Phone
Evening Phone
Cell Phone
Address
City
State
Zip
By sending us the information on this form with your telephone number
you are
authorizing us to contact you even if your name
is on a Federal or State "Do not
call List" .