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Your Information:

Name ">
Address ">
City ">
State ">
Zip ">
Email ">
Phone ">
How did you hear about us? ">
Are you working with another REALTOR? Yes No
If yes, who? ">

Features of Your Home:

Number of Bedrooms: ">
Number of Full Baths: ">
Number of Half Baths: ">
Total square feet: ">
How many levels? ">
Do you have a basement?
Yes No
Garage : 1 car 2 car 3 car
Garage type: Attached Detached
How long have you lived in the home? ">
Year home was built? ">
If you didn't build your home brand-new, what upgrades or major renovations should we be aware of?

Financial:

How much did you pay for the home when you purchased it? ">
How much do you owe on your current mortgage? (What is the payoff?) ">
Do you have a 2nd or 3rd mortgage or Home Equity Loan on your home? Yes No
If yes, for how much? ">
How would you rate the condition of your home on a scale of 1-5? (5=Excellent / 3=Average / 1=Poor) 1
2
3
4
5
If you do not rate your home a 5 now, what needs changed to make it a '5'?
What is the current value of your home with no repairs or changes to it?
Why? How did you arrive at that price?

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