*First Name:   * Last Name:

* Mailing Address:  
* City:   * State:   * Zip Code:

* Daytime Phone:    
*Email Address:  

How would you prefer us to contact you?
Daytime Phone
Nigh time 
E-mail

Property Information:

*  Property Address:

*City:    *State:       *Zip:
*  Subdivision/Neighborhood - Name if any:  

* Estimated Square Feet:   * Approximate Year Built:  

*  Number of Bedrooms:     * Number of Bathrooms:

* Parking /Garage attached one car Driveway spaces Street parking attached one car detached one car two car attached two car detached three or more car attached three or more car detached Select One

* Property Style: Two Story One Story Ranch Colonial Traditional Transitional style 1.5 Story Tri Level Contemporary Select one or more

Please indicate your type of home (check all that applies):
Single Family
Condo/Townhouse
Waterfront
Commercial
Rural
Vacant Land

  Please select all features your home includes: (Check all that apply)

0 1 2 3 4 5 6 7 8 9 10 10+ Fireplace's    Gas Log Fireplace   
Ceramic Tile Floors   Marble Flooring   Hardwood Floors   Carpeting 
Eat-In Kitchen   Family Room   Formal Dining Room     Formal Living Room   Great Room   Sky Lights   Cathedral Ceilings  Loft    Walk in Closets   Basement   

Brick Exterior   Stucco Exterior  Vinyl Siding Other Exterior    In ground sprinkler system   Storage Shed    In ground Pool   Jacuzzi  Screened back porch   Front Porch   Deck   Fenced Yard  
 

  Heating/Cooling:  ( select all that apply) Central Heating/AC 2 Zone central Heating/AC Gas Heating Heat Pump Oil Heating Central Air Window Air No Air conditioning Radiant Heating Electric Heating No Heating Select all that Apply

  When do you plan to sell your home? 1-3 Months 3-6 Months 6-12 Months 12-18 Months 2 or more years Immediately Select One

  Please Indicate where you are moving to?  

  Questions and Comments: