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Personal Information

First Name *
Last Name *

Contact information

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Telephone

Address

Address*		City*
State		Zip Code

Property Information

Number of bedrooms	1 2 3 4 5 6 7+	Number of bathrooms	1 2 3 4 5 6 7+
Square feet	< 1000 1000 - 1500 1500 - 2000 2000 - 2500 2500 - 3000 3000 - 3500 3500 - 4000 4000 - 4500 4500 - 5000 5000 - 6000 6000 - 7000 7000 - 8000 8000 - 9000 9000 - 10,000 10,000 +	Type of Property	Single Family Residence Town House Condominium PUD Duplex Triplex Fourplex Custom
Price Range	Less than $300,000 $300,000 - $500,000 $500,000 - $700,000 $700,000 - $900,000 $900,000 - $1,000,000 $1,000,000 - $2,000,000 $2,000,000 - $3,000,000 $3,000,000 - $4,000,000 $4,000,000 - $5,000,000 Over $5,000,000
Air conditioning?	Please choose an option. Central Wall Unit(s) Other
View	Please choose an option. Bay Lake Ocean Canyon Parklike Greenbelt Panoramic Mountains Citylights Golf Course
Garage type	Please choose an option. 1 Car 2 Car 3 Car 4+ Car Attached Detached Carport
When do you plan to sell?	3 Months 6 Months 9 Months 1 Year 1 Year+

Location of Property:

Address*		City*
State		Zip Code

Comments

Any upgrades/remodeling which should be considered:

Comments

Please List the additional amenities of your house.