Owner's Name:
Street address:
City:	State:   Zip:
Your Name (if other than owner):
Phone Number(s):
Best Time to Reach You:
Email Address:
Neighborhood (Tract Name or Number):
This is My: Primary Residence .. Second Home .. Rental/Income Property ..
Type of Property: Single Family Residence .. Condo/Townhome .. Apartment ..                               Land .. Other ..
Style of Home: Ranch(1 story) .. Two Story .. Tri-level .. Duplex .. Other ..
Approximate Age of Home Years Number of Bedrooms   Number of Bathrooms
Number of Fireplaces   Approximate Square Footage sq.ft.
Garage: One Car .. Two Car .. Three Car .. Carport .. None
Do you have: Pool     Spa     Patio     Deck     Built-in Bar-B-Que
Any Additions or Modifications to Original Floor Plan? Any Improvements or Information that you believe may increase or decrease the value of your home compared to other homes in the area:
How would you rate the general condition of your home? Excellent     Good     Fair     Poor
How many homes have you sold in the past? 0     1     2     3 or more
When are you planning to sell this home? 1-3 months     3-6 months     6 months+
Are you staying in the area or relocating to another city?
Is your home: Currently listed with a Realtor ?     For Sale by Owner ?
NOTE: This request for an in-depth analysis will be forwarded to a top-producing, professional Realtor who is an expert in the local area. The agent will contact you for any additional information required to provide you with the most accurate and up-to-date analysis of your homes value based on the condition and location of your home, as well as the current market environment.