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

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