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Your Name (First, Last):	*(Required)
Address of Property: (1234 Main Street #227)	*
City:	*
State & Zip:	Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maryland Maine Massachussetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming xxxxxxxxxxxxxxxxxxxxxxxx    *
Home Phone:	*
E-Mail:	*
Neighborhood or Development:
Primary Residence or Other:	Choose One Primary Residence Secondary Residence Vacation Home Rental *
Relationship with Property	Choose One Legal Owner Renter Landlord Property Manager Potential Buyer Other *
Type of Property:	Choose One Single Family Home Multiple Family Home Townhouse Condominium Manufactured Home Mobile Home *
Style of Home: (single story, ranch style, split level, etc)
Approximate Year Built:
# of Bedrooms:	*
# of Full Bathrooms:	*
# of Half Bathrooms:
# of Fireplaces:
Approximate Square Footage: (Garage and Basement excluded)	*
Lot Size / Acreage:	Choose One City Lot 1/2 Acre 1 Acre 2-5 Acres 5-10 Acres 10+ Acres Unsure *
Heat Type:
Air Conditioning Type:
Basement:	Choose One Finished Partially Finished Unfinished None
Pool?	No Yes
Parking:	Choose One Garage Carport On Street Off Street No Covered Parking *
Spaces:	Choose One None 1 Car 2 Cars 3 Cars More than 3 *
Rate Overall Condition:	Choose One 1 Poor 2 3 4 5 6 7 8 9 10 Excellent *
Additional Comments: (The more information you provide, the more accurate your market analysis will be.i.e.; Lakefront, brick exterior, etc.)
When are you planning to sell?	Choose One Right Away 30 Days 60 Days 90 Days 6 Months 9 Months More Than 9 Months *
Why are you planning to sell?	*
Is your home currently listed?	Choose One Not Currently Listed For Sale by Owner Yes - With an Agent *
How did you hear about SherryColeman.Com?*	Choose One Search Engine Referral from Friend Newspaper Ad Postcard Internet Sign Other
May we send you our Free Home Seller Tips Newsletter?	Yes No     *

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