Seller's Inquiry Form
Please provide the following information.
Name:
Address:
City:
State:
Zip:
Country:
Phone:
Fax:
EMail:
Type of Residence you own:
Single Family home
Townhouse
Condo
Location:
How many bedrooms?
0
1
2
3
4
5
6
7
8
9
10
11
12
How many bathrooms?
0
1
2
3
4
5
6
7
8
9
10
11
12
How many half-baths?
0
1
2
3
4
5
6
7
8
9
10
11
12
Dining Room
Yes
No
Family Room
Yes
No
Den/Library
Yes
No
Garage
Yes
No
Pool
Yes
No
Waterfront
Ocean
Intracoastal
Lake
No waterfront
Dock
Yes
No
Extra Features:
List of renovations:
Asking price range:
Would you like to receive Comparable Market Analysis for your home?
Yes
No
Comments:
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About Us
Contact Us
125 Worth Avenue Palm Beach, FL 33480 / Telephone (561) 835-8001
E-Mail us:
wir@bellsouth.net