Your Name:

Phone Number (Including Area Code):

Fax Number (Including Area Code):

Street Address:

City:

State:

Email Address:

Preferred Method of Contact: Phone Email

School District:

Whose Name is on the Title?:

Property Status: Owner Occupied Vacant Tenant Occupied

How Long Have You Owned this Property?:

What Type of Home Is It? Ranch (1 Story) Cape Cod (1 1/2 Story) 2-Story Bi-Level Split Ranch Earth Home Condominium Apartment Duplex Manufactured Home Mobile Home Double-Wide Other

How Many Bedrooms?: 3 Bedroom 1 Bedroom 2 Bedroom 4 Bedroom 5 Bedroom 6 Bedroom 7 Bedroom Other

How Many Bathrooms? 2 Bathroom 1 Bathroom 3 Bathroom 4 Bathroom

What Type of Exterior Siding Do You Have?: Stone Aluminum Other Brick Vinyl Wood Shingle Rock Stucco

What Type of Foundation Does It Have?: Concrete Slab Pier & Beam Combination Other

What Type of Heating System Does It Have? Electric Heat Pump Natural Gas Furnace Propane Gas Furnace Gas Hot Water Boiler Electric Hot Water Boiler Electric Furnace Electric Baseboard Electric Radiant Heat (Floor or Ceiling) Wood Stove Fire Place Geothermal

What Type of Air Conditioning System Does It Have?: Central Air Heat Pump Window Air Wall Unit Air Attic Fan Geothermal Other

What Type of Garage Does It Have? 2 Car 2.5 Car 1 Car None 1.5 Car 3 Car 3.5 Car 4 Car Pole Barn Garage Attached Garage Detached Garage Combination Other

What is the Square Footage of This Home?

Recent Improvements:

Has This Home Been Appraised in the Past 5 Years?  Yes No

What Would You Estimate the Value of This Home To Be? $

What is the Best Time To Contact You to View Your Home?

When Would You Like to Have It Sold?:  Now Within 30 Days Within 90 Days Within 6 Months Within the Next Year

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