| First
Name: |
|
|
| Last
Name: |
|
|
| Phone: |
|
Work: |
|
|
| Cell: |
|
|
| Email: |
|
|
| Current |
|
|
| Address: |
|
Unit: |
|
|
|
| City: |
|
State:
|
|
|
|
| Zip: |
|
|
| |
| Selling
Information |
| |
| Property
address:
|
City:
 State:
Zip:
|
| Property
type: |
|
|
|
Number of Bedrooms: |
1
2
3
4
5+ |
| Number
of Baths: |
1
2
3
4
5+ |
Number
of Half Baths:
|
1
2
3
4
5+
|
| Approximate
square footage:
|
| Parking
type:
|
Spaces:
1
2
3 |
| |
| Central
Air: |
|
Balcony/Deck: |
|
| Fireplace: |
|
Basement: |
|
| Overall
Property Condition: |
|
| |
| Are
you currently working with another agent to sell? |
|
|
Yes
No |
| |
| When
do you plan to sell? |
|
|
| |
| Buying
Information: |
| |
| What
are you looking for? |
| |
| Property
type: |
|
|
|
| Price
Range: |
|
|
|
| |
| When
do you plan to move? |
|
|
| |
| When
Will You Be Visiting the Chicago Area? |
|
|
| |
| Choose
neighborhoods of interest: |
Ctrl-Click to choose more than one |
| |
| Are
you currently working with an agent to buy? |
|
|
Yes
No |
| |
| Preferred
Contact Time: |
|
|
| |
Please
tell us anything else that can help us match you with a realtor:
|
| |
