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Contact Information
Name
Phone number
Fax number
Email address
Best time to contact you
Property Information
Number of bedrooms
Number of bathrooms
Square footage of home
Property Address
Property City
Zipcode
Check all that apply	Separate Dining Room Separate Living Room Living Room Dining Room Combo Fireplace Laundry Closet Laundry Room Family Room Sunroom Patio Deck Neighborhood Association Sprinkler System Eat In Kitchen
Cooling	Electric Window Unit None Ceiling Fan Other Heat Pump Zoned/Dual
Heating	Gas Electric None Other Heat Pump Zoned/Dual
Subdivision Name
Garage	Attached 1 car Attached 2 car Attached 3+ car Detached 1 car Detached 2 car Detached 3+ car Carport Side Entry Garage None
Additional features or upgrades which should be considered.
Construction Type	Brick Vinyl Aluminum Pressboard Siding Stone Stucco (real) Stucco (synthetic) Wood Concrete Siding Other
I want to Sell my Home	Immediately Within 2 months Within 6 months Within 1 year Undecided
Need to find a new home	Yes No
Basement	Slab Crawl Full Partial Finished Rooms Unfinised Rooms Finished Bath Stubbed for Bath
Year Built
Number of Stories	Ranch 1.5 Story 2 Story 2.5 Story 3 Level
Condition of Home	Excellent Good Fair Poor
Amount of Association Fee
Additional Details
Comments