Source of Call:*
|
*If Referral, who referred you?
|
| Do you need to sell your home quickly?
* |
Yes
No |
First Name:*
|
Last Name:*
|
Your Address:
|
Your Address Line 2:
|
City:
|
Your State:
|
Your Zip Code:
|
Home Phone:*
()-- |
Work Phone:
()-- |
E-mail Address:
|
Address of Property For Sale:*
|
Address of Property For Sale Line 2:
|
City of Property For Sale:*
|
State of Property For Sale:*
|
Zip Code of Property For Sale: *
|
Area of Property:*
|
|
| # of Bedrooms (NOT including Bonus
Room):* |
|
| Is there a Bonus Room? |
|
| # of Bathrooms:* |
|
| Garage:* |
|
| Square Footage:* |
|
| Features: |
|
| Are you the Owner? * |
Yes
No |
| If no, who is? |
|
| Is it listed with a Realtor? * |
Yes
No |
| If yes, what is the Multiple Listing Service
(MLS) number?* |
|
| How much do you think your property is worth? * |
|
| How long can you wait
to sell your home (in months)?* |
|
| Is your property occupied?
* |
Yes
No |
| Is there a mortgage
balance?* |
Yes
No |
| If so, how much? * |
|
| Would you sell your
home for what you owe on it?
* |
Yes
No |
| Will you lease out
your home out until it is sold?* |
Yes
No |
| Questions/Comments? |
|
