| First Name: |
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Last Name: |
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Owner Number: |
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| E-Mail: |
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Verify E-mail: |
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Home phone: |
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Cell phone: |
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Other phone: |
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Preferred contact method: |
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Best time to contact you: |
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| Please check all that apply: |
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I plan to buy or sell real estate:
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Your current mailing address: |
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City, State, Zip: |
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| Is this the property you wish to sell? |
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If you checked no, please list property address: |
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Description of property you're listing:
(if applicable)
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| Number of bedrooms: |
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| Numbers of bathrooms: |
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| Estimated square feet: |
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| Estimated listing price: |
Between: $
and $
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Description of property you're buying:
(if applicable)
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Location preferences (city, state): |
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Number of bedrooms: |
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Numbers of bathrooms |
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Estimated square feet: |
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Estimated buying price: |
Between: $
and $
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| Please provide us with more details regarding the type of property you would like to buy or sell: |
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| IMPORTANT: If you have already signed a buyer-agency agreement or sales contract with a real estate office, you will not be eligible for this offer. |
