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First Name Last Name
Address Zip
City State
Phone E-mail
Relationship to property Property type
Approximate year built Bedroom Count
Approximate square footage:
(Not Including Garage)
Full bathroom count (those with a tub)
3/4 bathroom count (those with shower but no tub) 1/2 Bathroom count (those with sink and toilet only)
Fireplace count Lot size
Heating type Air conditioning type
Pool? Yes No Garage space count
Rate the condition Other comments or amenities
(please elaborate, it will help during the evaluation)
When do you intend to sell Where are you planning to move?
Is your home presently listed for sale with a Realtor? Yes No How did you hear about {Site}?

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