Full Name
Phone
*
Email
*
How did you hear about us?
Property Address (Street, City, State, ZIP)
Is this your primary residence?
Yes
No
What type of property is it?
Single Family
Multi-Family
Townhouse
Condo
Vacant Land
Other
How many bedrooms and bathrooms?
What is the approximate square footage?
What year was the property built?
Are there any recent upgrades or repairs?
Yes
No
If yes, please describe
What is the current condition of the property?
Excellent
Good
Fair
Needs Repairs
Major Repairs Needed
Is the property currently occupied?
Owner
Tenant
Vacant
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