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Contact Information
Name:	*
Address of Property:
City:	*	State: Zip:
Home Phone:		Alt. Phone :
Email:	*
Best way and time to contact you:
Property Information
Resident Status:		Primary Residence Secondary Residence Vacation Home Rental
Relationship:		Legal Owner Renter Landlord Property Manager Potential Buyer
Lot Size /Acreage:		Choose One City Lot 1/2 Acre 1 Acre 2 -5 Acres 5-10 Acres 10+ Acres Unsure
Waterfront		Waterfront Canal Not on water
# of Bedrooms:		Choose One 0 1 2 3 4 5 6
# of Bathrooms:		Choose One 0 1 1.5 2 2.5 3 3.5
Spaces:		Choose One None 1 Car 2 Cars 3 Cars More than 3
Planning to Sell:		Choose One Right Away 90 Days 6 Months 12 Months
Type of Property:		Choose One Single Family Home Multiple Family Home Townhouse Condominium Manufactured Home Mobile Home
Parking:		Choose One Garage Carport On Street Off Street No Covered Parking
Listing Status:		Not Currently Listed For Sale by Owner Yes - With an Agent
Approx. / Square Footage:
Security Code	*