| Part 1 |
| Number of Bedrooms |
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| Number of Bathrooms |
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| Is there a Bathroom in the Master Bedroom? |
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What type of EXTERIOR does your home have?
(To make more than one selection, hold the Control Button down while selecting) |
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| What STYLE of home do you have? |
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| Does your home have a BASEMENT? |
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| Does your home have a GARAGE? |
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| What is the Square Footage of your home? |
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| What Year was your home built in? |
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| What type of Heating does your home have? |
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| What type of Cooling does your home have? |
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Any updates or special features in the last 10 years?
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| Part 2 - Tell us about the location of your home |
What are the Major Cross Roads where your home is located?
North
or South
of
-and- |
| East
or West
of
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| Is your home in a Historic District? |
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| What is the address of your home? |
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On scale from 1 to 10 how would you rate the condition of your home?
( 1 being in very poor condition and 10 being immaculate ) |
| 1
2
3
4
5
6
7
8
9
10
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| Part 3 - Tell us about yourself |
| First Name: (required)
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Last Name: (required)
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| Address:
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| City:
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State:
Zip:
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| E-mail: (required) |
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| Home Telephone: |
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| Work Phone: |
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| Is this your first time selling a home? |
Yes
No
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| How soon do you plan on Selling? |
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