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Contact Information

Your Name

Phone Number

Fax Number

Email Address

Best time to Contact You

Type of Property

Number of Bedrooms

Number of Bathroom

Size of Home/Property (SQFT)

Property Address

Property City

ZipCode

Check all that apply

Family room Den
Formal dining room
Laundry room
Fireplace
Pool Spa
Guest house Storage
Cellar/Basement 2 story

Air Conditioning

Central
Wall unit(s)
None
Other

Heating System

Central
Wall unit(s)
None
Other

View

Bay
Lake
Ocean
Canyon
Natural
Greenbelt
Mountain
City

Garage

Attached 1 car
Attached 2 car
Attached 3+ car
Detached 1 car
Detached 2 car
Detached 3+ car
Carport
None

Additional Features or Upgrades that should be Considered

When to Sell

Immediately
Within 2 Months
Within 6 Months
Within 1 Year
Undecided

Need to find new home

Yes
No

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