Your Information

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| Your Name: |

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| Phone Number: |

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| Email Address: |

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Your Address (if different from below): |

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| City/State/Zip Code: |
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| Preferred Contact Method: |
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Please let us know the best way to contact you. If by
phone or regular mail, please be sure to include that information.

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| Preferred Contact time: |
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If you selected "Phone" above, please let us know the best time to call.

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Property Information

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| Type of Property: |

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| Address of Property: |

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| City/State/Zip Code: |
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| Subdivision: |

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| Number of Bedrooms: |

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| Number of Bathrooms: |

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| Lot Description: |

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| Amenities & Etc.: |
Please select from the following list the amenities you have in your home.
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| Number of Stories: |

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| School District: |

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Please indicate the school district your home is in.

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| Size/Sq.Ft.: |

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Please tell us the square footage of your home.

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| Construction of Home: |

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Please select your home's exterior construction.

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| Age of Home: |

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Please tell us when your home was built.

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| Time Frame: |

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When are you looking to sell this property?

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| Comments: |
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Use the space above for any additional comments you would like to share with us.

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| Submit Your Form: |
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