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CONTACT INFORMATION

Name (First, Last)

Email

Phone

PROPERTY ADDRESS

Property Address

City

State Choose A State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District 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 Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

PROPERTY INFORMATION (Optional)

Resident Status: Primary Home Second Home Vacation Home Rental # of Bedrooms: Choose One 0 1 2 3 4 5

Relationship: Legal Owner Renter Landlord Property Manager Potential Buyer Other # of Bathrooms: Choose One 0 1 1.5 2 2.5 3 3.5 4 4.5 5

Type: Choose One Single Family Home Multi-family Home Townhouse Condominium Manufactured Home Mobile Home Parking: Choose One Garage Carport On Street Off Street No Covered Parking

Condition: Choose One 1 Poor 2 3 4 5 6 7 8 9 10 Excellent Spaces: Choose One None 1 Car 2 Cars 3 Cars More than 3

Lot Size: Choose One City Lot 1/2 Acre 1 Acre 2-5 Acres 5-10 Acres 10+ Acres Unsure Listing Status: Not Currently Listed For Sale by Owner Yes - With an Agent

Square Feet: any 600+ 800+ 1000+ 1200+ 1800+ 2000+ 2250+ 2500+ 2750+ 3000+ 3500+ 4000+ Planning to sell: Choose One Right Away Within 90 Days Within 6 Months Within 12 Months

Basement: Choose One Finished Partially Finished Unfinished None Referred By: Choose One Radio Ad Online Banner Ad Search Engine TV Ad Referral from Friend Newspaper Ad Postcard Internet Sign Other