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First Name
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Last Name
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Address 1
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Address 2
City
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State
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Zip Code
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Phone
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E Mail Address
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Preferred Method of Contact
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Phone 9am-5pm
Phone 5pm-9pm
Email only
Home Style
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Single Family Home - Not Maintenance Free
Condo - Attached - Maintenance Free
Condo - Detached - Maintenance Free
Townhouse - Attached - Maintenance Free
Other - Describe in Additional Comments Section
Stories/Levels
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One Level (Ranch)
1.5 Levels (Cape Cod)
2 Story (Colonial, Transitional)
Beds
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Baths
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Square Feet
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Lot Size
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Garage
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No Garage
Attached 1 - 2 Car
Detached 1 - 2 Car
Other - Describe in Additional Comments Section
Basement
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Crawlspace
Slab
Partial
Full Partial Finished
Full Half Finished
Full Full Finished
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Are you currently working with a Real Estate Agent
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No
Yes, But I am considering a change
Yes
Additional Comments
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