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Evaluation Questionaire

Please complete the evaluation form below to provide our staff with the information needed to perform your free evaluation. Items marked with an * are required. Other items are optional.
Contact Information    
First Name *:
Last Name *:
Email *:
Phone:   (Example:215-555-5555)
Alt Phone:
How did you find us?:
       
Property Information    
Property Type:
Square Footage *:
Bedrooms:
Bathrooms:
Garage(s):
Pool:
Listed With Realtor:
I am the property owner:
Occupancy Status:
Appraised Value:
Current Asking Price:
Property Address *:
City *:
State:
Zip Code:
Condition:
Notable Ammenities:
List Needed Repairs:
Reason For Selling:
       
Financial Information    
Mortgage Balance:
Interest Rate:
Monthly Payment:
Mortgage Amt In Arrears:
Payment includes taxes and insurance:
       
Annual Taxes:
Taxes In Arrears:
Additional Comments:
  
Clicking on the Submit button will generate an email message containing the information that you have specified. Please verify the accuracy of the information within the email message. If the information is not correct, simply close the email message window without sending the email, make the neccessary changes within this form, then click on the Submit buttin again, Once you have sent the email, you can close this form.

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