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MLS Number:
Street Name:
Your Name:
Phone Number:
Fax number:
What is the mailing address of the home you want to sell:
City:
State:
ZIP:
E-mail:
Whose name is the home titled in?
Are you living in the home, is it rented oris it vacant?
Living in the home
Renting the home
The home is vacant
How long have you owned this property?
Less than 1 year
1-3 Years
3-5 Years
5-10 Years
10-20 Years
Longer than20 Years
I really don'tknow
What type of home is it?
Ranch (1 Story)
Cape Cod (1 1/2 Story)
2 Story
Raised Ranch
Split Level
Duplex
Mobile Home
Double Wide
Modular or Manufactured
Other
How many bedrooms above the basement?
1 Bedroom
2 Bedrooms
3 Bedrooms
4 Bedrooms
5 bedrooms
6 or more bedrooms
How many baths?
1 Bath
1 1/2 Baths
2 Baths
2 1/2 Baths
3 Baths
3 1/2 Baths
4 Baths
4 1/2 Baths
5 or more Baths
What type of exterior siding do you have?
Aluminum
Brick
Stone
Vinyl
Wood
Shingle
Stucco
Combination
Other
What type of garage do you have?
1 Car
1 1/2 Car
2 Car
2 1/2 Car
3 Car
3 1/2 Car
4 Car or Larger
Other
None
What age roof do you have?
1-5 yr
5-10 yr
10-15 yr
15-20 yr
20+ yr
How many square feet do you have above the basement?
Tell me about any recent improvements or updates thatyou think will help your homes resale:
Have you had the home appraised within the past 5years?
Yes
No
Where would you estimate the value of your home tobe?
What would happen to your plans if it sold for lessthan that figure?
What is a good time to contact you to set up a timefor us to view your home?
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