Short Sales Request Form

An asterisk * indicates a required Field

House Information
* First name: * Last name:
* Email: Phone:
( )
Non-USA Phone:
Please
separate your street address
into the house number, the street name and the unit number.
House #: Street Name:
Unit/Suite #: City:
State: Zip:
Best time to reach me:
Timeline
I am: Buying Selling Both
I am planning on buying and/or selling a home:

between 3 and 6 months from now.
now!
in the next 3 months.
between 6 and 12 months from now.
more than 1 year from now.
Buying Property Features
Minimum price:
Maximum price:
Square feet:
Bedrooms:
Bathrooms:
Age of house:
Location of house:
City:
State:
County:
Area:
Features:
Selling Property Features
Minimum price:
Maximum price:
Square feet:
Bedrooms:
Bathrooms:
Age of house:
Location of house:
Same as address above
House #: Street:
Suite #: City:
State: Zip:
County: Area:
Features:
Other Information and Comments

Please contact me by:PhoneEmail

Comments:


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