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Contact Information
Name
Phone Number
Cell Number
Email Address
Best time to contact you
Property Information
Type of Property	Single Family Townhouse Condominium Duplex Triplex or Fourplex Lot or Land Retirement Community Other
Type	1.5 story 1.5 story w basement 2 story 2 story w basement 2.5 story 2.5 story w basement 3 story 3 story w basement Singlewide Doublewide Modular Ranch Ranch w basement Split foyer Split level
Number of Bedrooms
Number of Bathrooms
Square footage of home
Street Address
City & State
Zipcode
Subdivision
Year Built
Check all that apply	Breakfast room Formal dining room Formal living room Great room Fireplace Sunroom Screened room Pool Hot tub Finished basement Unfinished basement 2nd kitchen
Air Conditioning	Central Wall unit(s) None Other
Heating System	Electric Gas Other
Type	1 story 1 story plus basement 2 story 2 story plus basement 3 story 3 story plus basement
Garage / Parking	Attached Detached 1 car garage 2 car garage 3 car garage 3+ car garage 1 carport 2 carport 3 carport 3+ carport Driveway only Parking lot Assigned space(s)Street parking
Additional features or upgrades which should be considered.
Helpful Information
When to Sell	Immediately Within 2 months Within 6 months Within 1 year Undecided
Need to find a new home	Yes No Not Yet
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