Real Estate Seller Information Request Form

Send To: * Nick Ladd (Office Manager) Megan Jefferson (Realtor) Henry Cabrera (Realtor) Sam Peterson (Mortgage Broker) Kendra Carlson (Mortgage Broker) Your Name: * E-mail Address: * Home Phone: * Business Phone: Mobile Number: Street Address: City: State: AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY -Terr.- AS FM GU MI PR VI Zip Code: What is your time frame for selling? Select OneWithin One WeekTwo Weeks or LessWithin One Month1 - 2 Months2 - 6 Months6 Months - 1 Year1 Year + What type of property are you wanting to sell? CondoCo-opSingle Family HomeCommercial PropertyOther Square Footage: Views: City Mountain Water Territorial Other Parking Situation: NoneUncoveredCovered1 Car Garage2 Car Garage3 Car GarageOther Please describe your property: * What types of services are you looking for? Any other comments or questions? Verification Code: Enter Verification Code: * * Required

"In an effort to streamline a writing contest for our literary magazine site, Ducts.org, we turned to myContactForm.com to help provide answers to some very troubling questions. How can we take the submission online? How can we make sure the user fills out the appropriate information? How can we re-direct the user to a thank you page? ALL of these answers and more were answered by myContactForm.com. They provided us with a tool that we could understand, adapt to our specific needs and customize, and we were able to get the form up-and-running in less than 30 minutes!" Cody Dennison www.ducts.org