Tell me a little about yourself and your home:

First Name:      Last Name:

Mailing Address:

     City:      State:      Zip:

E-mail Address:

Home Phone:

Work Phone:

The best time to reach me: Week Days Evenings Weekends      Call me at: Home Work

Property Address:

     City:      State:      Zip:

House Square Feet:

# of Bedrooms: 1 2 3 4 5 6

# of Bathrooms: 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5+

Basement: Slab Crawl Unfinished Basement Finished Basement

Garage Size: No Garage 1 Car Garage 2 Car Garage 3 Car Garage 4+ Car Garage      Garage is: Attached Detached

Estimated Value: (What you think your home is worth?)

This is a:     Single Family Home     Condominium

Are you currently working with a Real Estate Agent?: Yes No

Why are you requesting a Market Analysis of your home?: