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General Information:
* First Name:
* Last Name:
* Phone:
Alternate Phone:
FAX Number:
* eMail:
Address:
City:
State/Province:
Zip/Postal Code:
Listing Plans
Do you intend to sell your home in the next three months? yes no
Are you already working with a realtor? yes no
Home Information
Price Range:	$0$10,000$20,000$30,000$40,000$45,000$50,000$55,000$60,000$70,000$75,000$100,000$125,000$150,000$175,000$200,000$225,000$250,000$275,000$300,000$325,000$350,000$400,000$450,000$500,000$550,000$600,000$650,000$700,000$750,000$800,000$850,000$900,000$1,000,000$1,250,000$1,500,000$1,750,000$2,000,000$2,250,000$2,500,000$2,750,000$3,000,000$3,500,000$4,000,000$4,500,000$5,000,000$6,000,000$8,000,000$10,000,000
Number of Bedrooms:	1 2 3 4 5 more
Number of Bathrooms:	1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 more
Square Footage:	600 800 1000 1200 1400 1600 1800 2000 2250 2500 2750 3000 3500 4000 5000 6000 7000 8000 9000 10000
General Features
Single Story    Two or More Stories     Handicap Features	Newer Home(0-5 yrs)    Older Home(5+ yrs)     Senior's Community
Interior Features
Central Air    Forced Air    Gas Heat    Hardwood Floors    Family Room    Dining Room    Eat-in Kitchen    Breakfast Area    Workshop	Fireplace    Family Room Fireplace    Bedroom on Main Floor    Bathroom on Main Floor    2nd Master Bedroom    Den/Office    In-Law/Guest Suite    Laundry Room    Basement
Exterior Features
Swimming Pool    Spa     Horses Allowed    Horse Facilities    Boat Facilities    Tennis Court    Tile Roof	1 or More Car Garage    2 or More Car Garage    3 or more Car Garage    Attached Parking Facilities    RV Parking    1 or More Car Carport
Lot Features
1/2 or More Acres    1 or More Acres    2 or More Acres    5 or More Acres    10 or More Acres    20 or more Acres    Corner Lot    Cul-De-Sac Location	Golf Course Lot    Waterfront Property    Fenced Yard    Mountain View    River View    Ocean View    Waterview    City Lights View
Community Amenities
Golf    Tennis    Swimming Pool    Spa/Hot Tub    Sauna	recreation Facilities    Clubhouse Rec Room    Exercise Area    Security Features
Features For Condominiums
Balcony    Elevator(s)	Pets Allowed    Storage Area
Financial Considerations
Trade Considered	Lease-Option Considered
Other/comments

Please contact Dawn, who will be delighted to help you.