I am interested in selling

  House Information:

Bedroom# 1 2 3 4 4+ 0
Bathroom# 1 2 3 4 4+ 0

Square Footage(approx.)

Address

City

Planned selling Date

Is your home listed?
yes no

Features (family room, pool, fenced yard, etc.)

Any other comments or questions:

How can I get in touch with you:

Name     
E-mail   
Tel      
FAX       

Please contact me as soon as possible!