CONTACT INFORMATION
Name:
Property
Address:
City:
State:
Email:
PROPERTY INFORMATION
Resident Status:
Primary Residence
Secondary Residence
Vacation Home
Rental
# of
Bedrooms:
Choose One
0
1
2
3
4
5
6
7
8
9
10
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
of Property:
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Single Family Home
Multiple Family Home
Townhouse
Condominium
Manufactured Home
Mobile Home
Parking:
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Garage
Carport
On Street
Off Street
No Covered Parking
Overall 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
/ Acreage:
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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
Planning
to Sell:
Choose One
Right Away
90 Days
6 Months
12 Months
Basement:
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Finished
Partially Finished
Unfinished
None
How
did you hear
Choose One
Online
Radio
Other
Sign
Postcard
TV
Newspaper
Would
you be selling or refinancing your home?
Choose One
Selling
Refinancing
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