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	Your Information E-mail: Confirm your E-mail: Name: Address: City: State: Zip: Home Phone Number: Best time to call: Anytime Mornings Days Evenings Cell Phone Number: Best time to call: Anytime Mornings Days Evenings Your Property Information Property Address: City: State: Zip: I use this property for: Choose One Primary Residence Vacations - Get away I rent to tenants Other I currently: Choose One own rent wish to purchase other the property. This type of this property is: Choose One Single Family Home Duplex, I own both sides Duplex, I own one side Condominium Townhouse Mobile Home, I own the land Mobile Home, I rent the land Other The condition of this property is: Choose One Like new, Excellent 9 8 7 6 5 4 3 2 1 - Poor Bedrooms: Choose One 1 2 3 4 5 More than 5 Baths: Choose One 1 1.5 2 2.5 3 3.5 4 Flooring: Carpet Tile (Check all that apply) Hardwood Vinyl/Linoleum Terrazzo Wall to Wall carpet Pool: Above Ground Heated (Check all that apply) Caged Solar Heated In ground Spa Garage: Choose One None One car Two car Three car More than 3 car Square Feet under air: (living square feet) Total Square Footage: (total square feet) Lot size or Acres: The listing status is: Choose One Currently listed with a broker For Sale by Owner Not listed I am planning to sell in: Choose One As Soon As Possible! Within 90 days In 6 months in one year How did you hear about my site? Choose One Post card On-line Signs Newspaper Radio Other Comments or Additional Information (renovations, improvements, etc.)

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