Name:

Phone:

Email:

Mobile:

Street:

City:

State:

Zip:

Square footage:

Bedrooms:

Bathrooms:

Is there a basement?: Please Select BasementSlab Crawl Space Walkout Basement Finished Partially Finished Unfinished Other

Is there a garage or carport?: –None–No Carport 1 Car Attached 1 Car Detached 2 Car Attached 2 Car Detached 3 Car Other

Occupancy:Please Select OccupancyOwner Occupied Family Member Occupied Tenant Occupied Squatter Occupied Vacant Land only

Repairs Needed?:

Reason For Selling?:

How fast are you looking to sell?:–None–ASAP 30 Days 60 Days 90 Days 120 Days Not in a Rush

Mortgage Owed:

Current on Payments?:–None–Yes No

Real Estate Agent?:–None–Yes No

Notes:

Asking Price:

What day we can look at your property?: