*Your Name:
Spouse's Name:
Address:
City:		State:
Zip:
*Phone:
Fax:
*E-mail:
MARKET ANALYSIS OF YOUR HOME
Type of Home:	Please Choose Single Family Home Townhome Condominium Other
Style of Home:	Please Choose Not Sure 2 Story 3 Story 4 Level Victorian Other
Beds:	0 1 2 3 4 5+	Baths:  0 1 1.5 2 2.5 3 3.5 4+
Moving Plans Definite?	Yes    No
Age of Home in Years:
# of Garage Spaces:
Total Square Feet:
Finished Square Feet:
Condition of Home:	Please Choose Excellent Good Average Fair
Time Frame for Selling:	Please Choose 30-90 Days 90-180 Days 180 Days or Longer