Residential Seller Request Form

Full Name*

Email Address*

Your Contact Phone*

Presently working with an Agent?* Presently working with an Agent?*NoYes

Best time to contact Best time to contactAll dayMorningAfternoonEvening

Home style? Home style?1 Story1 1/2 Story2 Story3 StoryMulti-level2 to 4 plexOther

Approx. Age Approx. Age0-5 Years5-15 Years15-30 YearsMore than 30 Years

Exterior? Exterior?Select oneBrickStoneBlockWoodStuccoSedarOther

Bedrooms? Bedrooms?0123456More than 6

Bathrooms? Bathrooms?01234More than 4

Coverage/ Square Footage?

Property Address? No. & Street Name

City/Town?

Postal Code?

Subdivision Name? (Leave blank, if none)

Lot size or Acrage?

Heating type? Heating type?Select oneNatural gasElectricHot waterPropaneOilOther

Air conditioning type? Air conditioning type?NoneCentralWindow or wallHeat pumpOther

Sprinkler System? Sprinkler System?YesNo

Security System? Security System?YesNo

Fireplace? Fireplace?YesNo

Deck? Deck?YesNo

Garage? Garage?Select oneNo garage1 car1 1/2 car2 car3 carMore than 3 car

Cross Roads?

Message