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? —Please choose an option—Moving from the areaWant a larger homeWant a smaller homeOther
What size is your home? —Please choose an option—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? —Please choose an option—234+
How many bathrooms do you have? —Please choose an option—234+
When was your home built? —Please choose an option—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? —Please choose an option—$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? —Please choose an option—30 to 60 days60 to 120 days120 to 180 daysNo time limit
