* Name

* Phone (numbers only)      Best time to call Choose One: Morning Afternoon Evening

* Email

* Property address

* City    * State  Choose One: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming    * Zip

Type of residence: Choose One: Primary Residence Rental Home

Relationship with property: Choose One: 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

Style of home: Choose One: Cape Cod Colonial Condominium Contemporary Country Ranch Split Level Townhouse Victorian Other

* Year built:         * Square footage (excluding garage and basement): 

* Number of bedrooms:   * Full Baths:   * Half Baths:

Number of fireplaces:

* Lot size: Choose One: City Lot 1/2 Acre 1 Acre 2-5 Acres 6-10 Acres 11+ Acres Unsure

Type of heat used:      Type of A/C used? Choose One: Central Air Window Unit None

* Basement: Choose One: Finished Partially Finished Unfinished None

Pool: Yes     No

Security System? Yes    No

* Garage type: Choose One: Garage Carport On Street Off Street No Covered Parking

How many parking spaces? Choose One: None 1 Car 2 Car 3 Car More than 3

Overall condition? (1 = Poor, 10 = Excellent)  Choose One: 1, Poor 2 3 4 5 6 7 8 9 10, Excellent

What is the most distinguishing feature of your home? (The more information you can provide, the more accurate your home evaluation will be)

How soon will you be moving? 

Where will you be moving? 

* Is your home currently listed? Choose One: Yes, with an agent For Sale By Owner Not Currently Listed

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