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Your Contact Information
(Please complete all fields)
First Name:
Last Name:
Cell Phone:
Daytime Phone:
Evening Phone:
EMail:
Street Address:
City:
State/Province:
Zip/Postal Code:
Are you looking to evaluate your home's value for the purposes of selling or refinancing?
Selling
Refinancing
If you are planning to sell your home, will it be within the next 6 months?
Yes
No
Description of the home you wish to sell:
Style of Home:
(eg. 2 levels, 1 level, bungalow, backsplit, etc.)
Type of Home
Detached
Semi-detached
Link
Townhouse-Freehold
Townhouse-Condo
Condo
Other
Approximate Square Footage:
Lot Size:
ft. Frontage
x
ft. Depth
Location:
Type of Heating:
GAS
OIL
ELECTRIC
OTHER
Age of Home:
Number of Bedrooms:
1
2
3
4
5
More
Number of Bathrooms:
1
1.5
2
2.5
3
3.5
4
More
Fireplaces:
YES
NO
MULTIPLE
Finished Basement:
YES
NO
No Basement
On a scale of 1-10
(with 1 being Poor and 10 being Exceptional)
,
please rate the showability of your home:
Poor
1
10
Exceptional
Special Features:
TonyPera@PeraNet1.Com
"Honesty, Integrity & Professionalism"
