CONTACT INFORMATION
Name:
Phone (Day):
Phone (Night):
Email:
Address of Property:
City:
State:
Zip:
Best Time To Contact:
PROPERTY INFORMATION
Resident Status:	Primary Residence Secondary Residence Vacation Home Rental
You Are:	Legal Owner Renter Landlord Property Manager Potential Buyer Other
Number of Bedrooms:	Choose One 0 1 2 3 4 5 6 7 8 9 10
Number of Bathrooms:	Choose One 0 1 1.5 2 2.5 3 3.5 4 4.5 5
Type of Property:	Choose One Single Family Home Multiple Family Home Townhouse Condominium Manufactured Home
Parking:	Choose One Garage Carport On Street Off Street No Covered Parking
Parking Spaces:	Choose One None 1 Car 2 Cars 3 Cars More than 3
Condition:	Choose One 1 Poor 2 3 4 5 6 7 8 9 10 Excellent
Lot Size:	Choose One City Lot 1/2 Acre 1 Acre 2-5 Acres 5-10 Acres 10+ Acres Unsure
Square Footage:
Listing Status:	Not Currently Listed For Sale by Owner Yes - With an Agent
Selling Status:	Choose One Right Away 90 Days 6 Months 12 Months Not Selling