Name:
Email Address:
Street Address:
City:
State:
Zip Code:
Country:
Phone:
Fax:
Are you interested in finding another home or lot?noyes Where?
Do you need relocation services?yesno
Why are you interested in selling your home or lot?---Moving from the areaWant a larger homeWant a smaller homeOther
What size is your home?---0 - 2,000 sq. ft.2,000 - 2,500 sq. ft.2,500 - 3,000 sq. ft.3,000 - 3,500 sq. ft.3,500 - 4,000 sq. ft.4,000+ sq. ft.
How many bedrooms do you have?---234+
How many bathrooms do you have?---234+
When was your home built?---1970 or before1970-19801980-19901990 or later
Do you have a pool?yesno
Are you in a gated community?yesno
Are you in a golf or tennis community?yesno
What value do you place on your home or lot?---$0 to $100,000$100,000 to $200,000$200,000 to $300,000$300,000 to $400,000$400,000 to $500,000Above $500,000
How quickly do you need to sell your home or lot?---30 to 60 days60 to 120 days120 to 180 daysNo time limit
