If you are interested in selling a home, please complete the following form so that I can prepare your market analysis and provide you with valuable information on selling your home.
Property Address:
Property City, Province/State Zip:
Bedrooms:	1 2 3 4 5 6 7 8+ Bathrooms: 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 7 8+
Property Type:	Residential Multi-Family Condo/Townhome/Cluster Lot/Land Commercial Other
Additional Features & Upgrades:
Overall Condition:	Poor Fair Average Good Excellent
Are You Planning to Sell Your Home?:	Yes No
Will You Buy Another Home?:	Yes No
Are you Planning to Relocate?	Yes No
First Name:
Last Name:
E-Mail Address:
Phone:
Relocation City:
Relocation Province/State:

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