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First name :
Last Name :
City State Zip :
Home # :
Cell # :
Property Use :
Lot Size :
Lot Attributes ( View, Traffic, Hills) :
Living Area :
Garage Area :
Year Built :
Bedrooms/ Bathrooms :
Central Heat :
Air Conditioning :
(pool, patio, porch, extension)
Are you looking to Sell within the next 90days?
When was your home last Appraised?
How long have you lived at your current residence?
Do you currently have a mortgage ?
If so, how long is your mortgage?
Are you looking to purchase a home?YesNoAre you looking to Sell your home?YesNo