What is your home worth?

Name

Phone No

Email Address

Fax Number

Best time to contact you

Type of property
Single Family HomeCondominiumTownHouseIncome PropertyRanchLots & LandRetirementVacationOther

Number of Bedrooms
12345

Number of Bathrooms
12345

Sq. Ft.

Property Address: (City, State, Zip)

Check all that apply:
Family Room/DenFormal Dining RoomLaundry RoomFireplacePoolSpaGuest House StorageCellar/Basement2 Story

Air Conditioning
CentralWall UnitNone

Heating System

CentralWall UnitNone

Scenic View?

Garage
Attached 1 carAttached 2 carAttached 3+ carDetached 1 carDetached 2 carDetached 3+ carCarportNone

Additional features or upgrades which should be considered

How soon are you looking to sell?
ImmediatelyWithin 2 MonthsWithin 6 MonthsWithin 1 YearUndecided

Do you also need to find a new home?
YesNo

Comments: