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Contact Information
Name
Email address
Fax number
Phone number(s) (Requested in case further information is needed)
Best time to contact you at the phone number provided
Property Information
Property Street Address
Property City
Zip Code
School Corporation
Neighborhood or Development
Type of Property	Single Family Residential or Condo Multi-Family Vacant Lots / Land Farm / Agricultural Commercial Vacation / Lake Home Other
Style of Home (check all that apply)	Brick Stone / Stucco Vinyl Wood / Cedar Other 1 Level Traditional 1 Level Ranch Two Story Multi-Level Manufactured
Approx. Year Built
Approx. Square Footage of Home
Number of Bedrooms
Number of Bathrooms
Lot Size / Acreage
Lot Info (check all that apply)	Creek / Pond on Property Private Community-Shared Lake Wooded Water Accessible
Heating System (check all that apply)	Central Wall / Space unit(s) Wood Stove Other None
Cooling System (check all that apply)	Central Air Conditioning Wall / Window unit(s) Ceiling Fan(s) Other None
Additional Features (check all that apply)	Basement Fireplace Separate Family Room / Den Formal / Separate Dining Room Laundry Room Porch / Patio / Deck Pool In-Law-Qtrs. / Guest or Addt'l. Residence on Property
Garage / Other Storage (check all that apply)	Attached 1 car Attached 2+ car Detached 1 car Detached 2+ car Carport Pole / Horse Barn Mini Storage Barn None
Overall Condition of Home (compared to other homes in the neighborhood)
Additional features / upgrades / circumstances which should be considered.
Helpful Information
Primary Residence or Other?	Primary Residence Secondary / Vacation Home Rental / Investment Other
Your Relationship with Property	Legal Owner Renter Landlord /Property Manager Potential Buyer Other
Planning to Sell	Immediately Within 6 months Within 1 year Undecided
Need to find a new home?	Yes No
Is this home currently on the market?	No - Not Currently Listed Yes - For Sale by Owner Yes - Listed with another Agent
Additional Comments