Listing Questionnaire Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone Number*Is this your principle residence?Select OneYesNoAre you planning to stay in the area?If not, what is your time frame for being in your new location?If moving out of state, may we send a referral to that state for you?Please tell us a little about your home:# Bedrooms:Select one1234 or more# Car Garage:Select one1234 or moreGarage Door OpenerSelect OneYesNo# Full BathsSelect one123 or more# Half BathsSelect oneNone12 or more# Fireplace/LocationBasementNo basementWalkoutFinishedDoes your house have?Formal DiningLiving RoomFamily RoomBreakfast Nook(Hold Control down while clicking mouse to select more than one item)Year BuiltSq. Ft.Central AirSelect oneYesNoHeatSelect oneGasElectricOtherDryerSelect oneGasElectricUtility Room LocationExterior:Select oneAll BrickPartial BrickPerm. SidingStoneOtherYard?School District:Do you have a price in mind? If so, what whould that be?Are you going to interview any other Realtors?Great, Who are you talking to?How did you hear about us?*SignInternetMagazine/Paper AdFriend/FamilyOur first appointment will only take about 10-15 minutes. What would be a good time for us to come by and have a tour of your home?Great, now if we can go ahead and set a time to go over the marketing analysis and complete the listing, when would be a good date and time?Date Select date you would like to meet with us.Time : HH MM AM PM Select the time preferenceMay we have directions to your home? We look forward to working with you!