COMPREHENSIVE MARKET EVALUATION AND CONSULTATION I am pleased to offer you a Market Evaluation and Consultation to ensure you obtain top dollar for your home. Your thoroughness when completing this request form will assure the accuracy of the evaluation.

Marjorie S. Harris Real Estate Broker Senior Real Estate Specialist

Let Me Help You Sell Your Home

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I am interested in: (choose all that apply) A FREE market evaluation and consultation. A FREE referral to an experienced and professional Realtor in the area we are locating to. I understand Marge will work with that Realtor to coordinate our sale and purchase - providing a smooth transition for us. Your online monthly newsletters, "Real Estate Update" and "Real Estate CyberTips and Tricks."
Name:
Email Address:
Second Email Address You Would Like Information Sent To:
How Often Do You Check Your Email?	More Than Once a Day Daily More Than Once a Week Weekly Other
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:	Ext.
Fax Number:
Best Time and Method to Reach You (Choose All That Apply):	Morning Afternoon Evening Email      Phone
I Am:	Working with an Agent Not Working with an Agent Looking for an Agent
What is Your Reason for Wanting to Move?
How Soon Do You Wish to Move?	Immediately 3 - 6 Months 6 - 12 Months No Hurry
When Did You Buy Your Home?
Why Did You Buy Your Home?
Year Built:
What Major Improvements Have You Made to Your Home?
Square Footage:
Subdivision:
Number of Bedrooms:
Number of Baths:
Basement:	None Full-unfinished Full-finished Partial-unfinished Partial-finished
Garage:	None Carport 1 car garage 2 car garage 3 or more car garage
Type of Home:	Single Family Detached Single Family Attached Townhome Condominium Senior Community
Style of Home:	Ranch Raised Ranch Two Story Tri-Level Quad Level Other
Lot Size:
On a 1-10 Scale, How Do You Rate the Condition of Your Home's Interior?
On a 1-10 Scale, How Do You Rate the Condition of Your Home's Exterior?
The Price Range of Your Home:
What is most important to you?	Pricing Timing Convenience
Special Features and Additional Comments:

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