Owner's Name:

*

Street address:

*

City:

*  State: *   Zip: *

Your Name(if other than owner):

*

Phone Number(s):

*

Email Address:

*

Resident Status: Primary Residence Secondary Residence Vacation Home Rental

Relationship:  Legal Owner Renter Landlord Property Manager Potential Buyer

Type of Property: Single Family Residence .. Condo/Townhome Land  . Other

Style of Home: Ranch(1 story) .. Two Story .. Tri-level .. Duplex .. Other ..

Approx. Age of Home:Years

Number of Bedrooms:       Number of Bathrooms:

Approximate Square Footage:  sq.ft.  Approximate Lot Size: sq.ft.

Garage: One Car .. Two Car .. Three Car .. Carport .. None

Do you have: Pool     Spa     Patio    Deck     Built-in Bar-B-Que

Any Improvements or Information that you believe may increase or decrease
the value of your home compared to other homes in the area:

How would you rate the general condition of your home?
Excellent    Good     Fair     Poor

When are you planning to sell this home?
1-3 months      3-6 months      6 months+

Listing Status:    Not Currently Listed For Sale by Owner Yes -Wiith an Agent