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Email *
Name *
Phone Number *
Are you currently working with an agent? *
What of my services are you interested in? *
Required
BUYER INFORMATION:
Where are you interested in buying?
What is your timeline?
What are you looking for in a property? Number of bedrooms, bathrooms, square feet, garage, etc...
SELLER INFORMATION:
Property address?
What is your timeline?
How many bedrooms does your home have?
How many bathrooms?
Special Features/Updates
If you were to rate your Home from a 1 to 10 (10 being WOW!) What would you rate it?
OK
WOW!
Clear selection
What do you think your home should sell for?
How important is it to you that your property look its best for market?
Not important
We need to get every bit we can out of the sale
Clear selection
How willing are you to make adjustments to your home to improve it's salability and perceived value?
As is sale
Whatever you recommend
Clear selection
How do you want your Realtor to show up?  What is important to you in a Realtor?
Is there anything else I should know? Do you have any other comments or concerns? 
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