| Name * |
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| E-mail Address: * |
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| Home Phone * |
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| Business Phone |
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| Mobile Number |
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| Mailing Address * |
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| City * |
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| State * |
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| Zip Code * |
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Do you currently live in a home?
Is it rented or vacant? | Own Rented Vacant |
| How long have you owned this property? |
Less Than 1 Year 1 - 3 Years 3 - 5 Years
5 - 10 Years 10 - 20 Years Over 20 Years |
| How many square feet does the home have? |
Under 1,000 1,000 - 1,500 1,500 - 2,000
2,000 - 2,500 2,500 - 3, 000 More Than 3,000
Not Sure |
| Number of bedrooms? |
1 2 3 4 5 or More |
| Number of bathrooms? |
1 1 1/2 2 2 1/2 3 3 1/2 4 More Than 4 |
| What improvements or updates have you made to the home? |
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| Have you had the home appraised in the last 5 years? |
Yes No |
| In your opinion, what is the value of your home? |
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| What is your timeframe to sell your home? |
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| Has your home been on the market within the last year? |
Yes No |
| Other information about your home that you would like to share: |
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| When is the best time to contact you? |
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| * Required |
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