* Name:   

* Phone:         Best time to call   Choose One: Morning Afternoon Evening

* Email:   

* Property address:   

* City:       State:     * Zip:   

* Type of property: Choose One: Single Family Home Multiple Family Home Townhouse Condominium Manufactured Home Mobile Home

Style of home: Choose One: Cape Cod Colonial Condominium Contemporary Country Ranch Split Level Townhouse Victorian Other

* Year built:            * Square footage (excluding garage and basement):   

* Number of bedrooms:      * Full Baths:      * Half Baths:   

Number of fireplaces:

* Lot size: Choose One: City Lot 1/2 Acre 1 Acre 2-5 Acres 6-10 Acres 11+ Acres Unsure

Type of heat used:      Type of air conditioning used: Choose One: Central Air Window Unit None

* Basement: Choose One: Finished Partially Finished Unfinished None

Pool? Yes     No

* Garage type: Choose One: Garage Carport On Street Off Street No Covered Parking     How many parking spaces? Choose One: None 1 Car 2 Car 3 Car More than 3

Overall condition (1 = Poor, 10 = Excellent)  Choose One: 1, Poor 2 3 4 5 6 7 8 9 10, Excellent

What is the most distinguishing feature of your home? (The more information you can provide, the more accurate your home evaluation will be)

How soon will you be moving? 

* Is your home currently listed? Choose One: Yes, with an agent For Sale By Owner Not Currently Listed

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