If you are interested in selling a home, please complete the following form so that I can prepare your market analysis and provide you with valuable information on selling your home.
Property Address:
Property City, Province/State Zip:
Bedrooms:	1 2 3 4 5 6 7 8+ Bathrooms: 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 7 8+
Property Type:	Residential Multi-Family Condo/Townhome/Cluster Lot/Land Commercial Other
Additional Features & Upgrades:
Overall Condition:	Poor Fair Average Good Excellent
Are You Planning to Sell Your Home?:	Yes No
Will You Buy Another Home?:	Yes No
Are you Planning to Relocate?	Yes No
First Name:
Last Name:
E-Mail Address:
Phone:
Relocation City:
Relocation Province/State:	Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Other
How soon are you planning to sell?	Urgent 30 days 60 days 6 months +
Are You Currently Working with a Realtor?:	Yes No