Owner's Full Name:	*
Street address:
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Your Name (if other than owner):
Phone Number(s):	*
Best Time to Reach You:
Email Address:	*
Neighborhood (Tract Name or Number):
This is My: Primary Residence   Second Home   Rental / Income Property
Type of Property: Single Family Residence   Condo / Townhome   Apartment   Land   Other
Style of Home: Ranch(1 story)   Two Story   Tri-level   Duplex   Other
Approx. Age of Home: Years
Number of Bedrooms       Number of Bathrooms
Number of Fireplaces       Approximate Square Footage   sq.ft.
Garage Size: One Car   Two Car   Three Car   Carport   None
Do you have: Pool     Spa     Patio     Deck     Built-in Bar-B-Que
Any Additions or Modifications to Original Floor Plan? Any Improvements or Information that you believe may increase or decrease the value of your home compared to other homes in the area:
How would you rate the general condition of your home? Excellent     Good     Fair     Poor
How many homes have you sold in the past? 0     1     2     3 or more
When are you planning to sell this home? Immediately     1-3 months     3-6 months     6 months+
Are you staying in the area or relocating to another city?
NOTE: This request for an in-depth analysis of your home's marketability will be forwarded to a top-producing, professional Realtor® who is an expert in your local area. The agent will contact you for any additional information required to provide you with the most accurate and up-to-date analysis of your home's value based on the condition and location of your home, as well as the current market environment. Please make sure that all the * required fields have been entered.