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First Name*:
Last Name*:
Home Phone:
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Email*:
Property Address*:
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What is your situation Why are you selling?
How soon do you need to move out? Please Select1 Month2 Months or MoreAlready Moved - Property Is VacantProperty is Tenant Occupied
How much do you think your house is worth?
How did you arrive at this price?
What type of house?* Please SelectTownhouse/RowhomeSingle Family DetachedDuplex/Semi-DetachedMulti-UnitCondoOther
Number of Bedrooms*: Please Select1234567+
Number of Bathrooms*: Please Select11.522.533.544.55+
Basement*: Please SelectNoneUnfinishedPartially FinishedFinished
Is the house currently listed with a Realtor? Please SelectYesNo
What is the current condition of the property? Please SelectExcellentGoodFairPoor
What kind of repairs or updating does the property need?
How much do you think these repairs will cost?
What is the balance of the mortgage(s) on the property?
Is your mortgage(s) current? Please SelectYesNo
How did you find out about us?*: Please SelectRoadside SignsCraigslistGoogleOther Search EngineOther WebsiteOther
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