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 Ken


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Please note that all fields followed by an asterisk must be filled in.
First Name*
Last Name*
E-mail Address*
Street Address*
City*
State/Prov*
Zip/Postal Code*
Country
Home Phone*
Business Phone
Are you interested in purchasing another home?
No
Yes
If you answered yes, have you decided where?
Why are you selling your current home?
Moving from your area
Looking for a larger home
Looking for a smaller home
Other
What is the size of your current home?
Under 2,000 square feet
2,000 - 2,500 square feet
2,500 - 3,000 square feet
3,000 - 3,500 square feet
3,500 - 4,000 square feet
4,000 plus square feet
How many bedrooms do you have in your home?
Two
Three
Four
Five or Greater
How many bathrooms?
Two
Three
Four or More
When was your home built?
Prior to 1980
1980 - 1990
1990 - 2000
2000 or later
Do you have a pool?
Yes
No
Is your home in a gated community?
Yes
No
Are you in a golf or tennis community?
Yes
No
What value would you place on your home or lot?
Under $200,000
$200,000 to $300,000
$300,000 to $400,000
$400,000 to $500,000
$500,000 or greater
How quickly do you need to sell your home or lot?
30 to 60 days
60 to 120 days
120 days to 180 days
No specific timeframe
Is there anything further you would like to include?

Please enter the word that you see below.

  

 

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