Basic Information Full Name (like on title):

Home Phone :

Cell Phone :

E-mail address :

What is the mailing address of he Property:

Detailed Information Are you the owner of the home:

What improvements have been done to the home:

How many years have you lived at home:

Number of Bedrooms:

Number of Bathrooms:

Approximate Sqr footage:
Do you need help finding another home:

Have you been making your payments on time:

Are we trying to avoid a short sale or foreclosure:

How soon do you need to move :

Additional Information Are you currently working with another realtor:

Please enter any notes regarding the home:
(HOA - Fence/pets - pool - any special conditions - when is the best time to contact you? )

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