First Name
Last Name
Address
City State Zip
Daytime Phone Eve. Phone
Fax Number
E-Mail Addr.
Will you sell your home within the next 4 to 6 months: Yes No
Tell me about the house you are selling:
Type or Style of Home (i.e. 1 or 2 levels, traditional, victorian, colonial, etc.)
Appx square footage: Lot size:
Location in Neighborhood Please select from the following.. Interior Subdivision On a busy street Faces/backs up to non-residential Corner
Number of bedrooms Select One Two Three Four Five Six + Number of Bathrooms: Select One 1.5 2 2.5 3 3.5 4 4.5 5+
Fireplace Select Yes No Pool Select Yes No
Now: You rate your home on a scale of 1-10 (10 is the best). Let me know how well your home might show - C'mon.... be honest!!
Poor Excellent!
Now, Finally... Let me know about any other features of your home that I might need to know about......