Type of
property you are selling
Please
select
Single Family Detached
Condominium
Townhouse
Rental
Vacation Home
Other
Desired
selling price
Please
select
$50,000
$75,000
$100,000
$125,000
$150,000
$175,000
$200,000
$225,000
$250,000
$275,000
$300,000
$350,000
$400,000
$450,000
$500,000
$550,000
$600,000
$650,000
$700,000
$800,000
$900,000
$1,000,000
$1,250,000
$1,500,000
$2,000,000 or more
Street
Number
Agents will not
receive this information
Street
Name
Unit Number
Agents will not
receive this information
City
State
Please
select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
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
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
ZIP Code
Bedrooms
Please
select
0
1
Studio
2
3
4
5
Bathrooms
Please
select
0
1
1.5
2
2.5
3
3.5
4
4.5
Year Built
Optional
Stories
Please
select
Lot
1
Split Level
2
3
Optional
Living
Area (square feet)
Optional
When do
you expect to sell?
Please
select
as soon as possible
within next 2 weeks
within 3-4 weeks
within 5-7 weeks
within 2-4 months
within 5-6 months
more than 6 months
When do you expect to choose an agent?
Please
select
as soon as possible
within next 2 weeks
within 3-4 weeks
within 5-7 weeks
within 2-4 months
in 5 or more months
What is
your reason for the sale?
Please
select
Need a Bigger Home
Corporate Relocation-New
Job
Need a Smaller Home
Attracted to New Community
Retirement
InvestmentProperty
Divorce/Separation
Financial Reasons
Selling Vacation / Other
Home
Other
Have proposals
sent to you until
January
February
March
April
May
June
July
August
September
October
November
December
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2005
2006
Describe the home you are selling so agents
can provide you with a customized response.
Describe what you want in an agent
Examples: Need agent who is an excellent
negotiator and has sold homes in
my area. Need recommendations on
preparing home for sale.
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