First Name*

Last Name*

Email*

Phone*

Best Time To Reach*
Morning 9AM-12PMNoon 12PM – 5pmEvening 5pm-9pm

PREFFERED CONTACT*
PHONEEMAILTEXT

Property Address*

Property Type *
—Please choose an option—SINGLE FAMILY RESIDENCEMANAFACTURED HOMECONDOTOWN HOMEDUPLEXMUTLIFAMILYLAND ONLY

Estimated Interior SQFT

How Many Bedrooms?*—Please choose an option—1 Bed2 Bed3 Bed4 Bed5+ Bed

How Many Bathrooms? *—Please choose an option—1 Bath1.5 Bath2 bath2.5 Bath3+

What Condition Is The Home In?*—Please choose an option—ExcellentGoodFairPoor

Owner Occupied?*
—Please choose an option—Yes – Living ThereTenant OccupiedVacant

Foreclosure? *—Please choose an option—Yes - I Am in ForeclosureNo-- I am Not in Foreclosure

Asking Price?*

Flexible Asking Price? *
—Please choose an option—YesNo

Timeframe To Sell?*
—Please choose an option—ASAP30 Days60 Days90 Days

Reason For Selling?*