First Name

Last Name

Address of Property

City

State

Zip Code

Phone
(The best number to contact you.)

Email Address
(We need this or we have no way of contacting you)

(REQUIRED FIELD)

Primary Residence or Other

Primary Residence Rental Home Vacation Home Choose One

Ownership of Property

Legal Owner Renter Landlord Property Manager Potential Buyer Other Choose One

Type of Property

Single Family Home Multiple Family Home Townhouse Condominium Manufactured Home Mobile Home Choose One

Style of Home
(Rambler, Two Story, Split Level etc.)

Approximate Year Built

# of Bedrooms

# of Full Bathrooms

# of 3/4 Bathrooms

# of 1/2 Bathrooms

# of Fireplaces

Approximate Square Footage
(Not including the Gargage or Basement)

Lot Size / Acreage

City Lot 1/2 Acre 1 Acre 2 - 5 Acres 5 - 10 Acres 10 + Acres Unsure Choose One

Heat Type

Air Conditioning Type

Choose One Central Air Window Unit None

Basement

Unfinished Partially Finished Finished None Choose One

Pool?

Yes No

Parking

Choose One Garage Carport Off Street On Street No Covered Parking

Spaces

Choose One None 1 Car 2 Cars 3 Cars More Than 3 Cars

Rate Overall Condition

Choose One 1 Poor 2 3 4 5 6 7 8 9 10 Excellent

Additional Comments
(The more information that you can give me, the more accurate your evaluation will be.  For example, lakefront, is it on a pond, maintenence free siding, brick exterior, etc.)

When are you planning on selling?

Choose One Right Away 90 Days 6 Months 12 Months

Where will you be moving to?

Is your home curently listed?

Yes, by an agent. For Sale By Owner Not Currently Listed Choose One

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