CONTACT INFORMATION       Name (First, Last): Address of Property: City:  State:  Zip: Email:      PROPERTY INFORMATION           Purpose of Property: Primary Residence Secondary Residence Vacation Home Rental No. of Bedrooms: Choose One 0 1 2 3 4 5 Relationship: Legal Owner Renter Landlord Property Manager Potential Buyer Other No. of Bathrooms: Choose One 0 1 1.5 2 2.5 3 3.5 4 4.5 5 Type of Property: Choose One Single Family Home Multiple Family Home Townhouse Condominium Manufactured Home Mobile Home Parking: Choose One Garage Carport On Street Off Street No Covered Parking Overall Condition: Choose From 1-10 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 / Acreage: 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 Approx. Square Footage: Planning to sell? Choose One Right Away Within 90 Days Within 6 Months Within 12 Months Basement: Choose One Finished Partially Finished Unfinished None How did you hear about us? Choose One Radio Ad Online Banner Ad Search Engine TV Ad Referral from Friend Newspaper Ad Postcard Internet Sign Other

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