Fields marked with an asterisk (*) are required.

Contact Information

First Name *

Last Name *

E-mail Address *

Your Mailing address

City

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Zip

Home Telephone

Work Telephone

FAX

Best Time/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

Property Zip

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

Questions or Comments