Name:

Address:

Home Phone:

Work Phone:

Mobile Phone:

Email Address:

The style of my home is:

Number of Bedrooms:

Number of Full Bathrooms:

Number of Half Bathrooms:

Lot Size:

Garage:

Parking Spaces:

Three reasons I bought my home:

Top three features I like about my home:

Improvements I have made to my home since purchase:

Time frame in which I would like to sell my home:

What is most important to me?:

What am I looking for in a real estate agent?: