Full Name:     

Preferred Phone Number:      including area code    Required
Secondary Phone Number:      
Fax number       
Address (of the home to be sold):      
City:      
State:                    ZIP:     
E-mail:      (Email must be valid to receive responses)

Whose name is the home titled in?    
    
Are you living in the home?  Is it rented or is it vacant?       Living in the homeRenting the homeThe home is vacant   

How long have you owned this property?       Less than 1 year1-3 Years3-5 Years5-10 Years10-20 YearsLonger than 20 YearsI really don't know

What type of home is it?      Ranch (1 Story)Cape Cod (1 1/2 Story)2 StoryTri LevelSplit LevelCondoDuplexOther

How many bedrooms above the basement?        1 Bedroom2 Bedrooms3 Bedrooms4 Bedrooms5 bedrooms6 or more bedrooms

How many baths?       1 Bath1 1/2 Baths1 Full Bath2 Baths2 1/2 Baths3 Baths3 1/2 Baths4 Baths4 1/2 Baths5 or more Baths

What type of heating system do you have?         Natural Gas FurnacePropane Gas FurnaceGas Hot Water BoilerElectric Hot Water BoilerElectric FurnaceElectric BaseboardElectric Heat PumpElectric Radiant Heat (in the ceiling)Fuel Oil FurnaceWood Furnace AddonWood Stove (free standing)Wood Stove (fireplace insert)FireplaceGeothermalOther

What type of air conditioning do you have?         Central AirHeat PumpWindow AirWall Unit AirAttic FanGeothermalOtherNone

What type of garage do you have?       1 Car1 1/2 Car2 Car2 1/2 Car3 Car3 1/2 Car4 Car or LargerPole Barn/GarageAttached GarageDetached GarageCombinationOtherNone

What type of roof do you have?        ShingleSlateMetalTileWood ShakesCombinationOther

What recent improvements or updates should we promote about your home?
               

Have you had the home appraised within the past 5 years?        YesNo   

What would you estimate the value of your home to be?       

What would happen to your plans if it sold for less than that figure?
                                

What is a good time to contact you to set up a time for us to view your home?
                                

What times are most courteous to call you?      

Any other questions?