First Name:
Last Name:
Address:
City:
State:
Zip:
Country:
Day Phone :
Evening Phone :
E-mail:
Please Contact me by:
Day Phone Eve Phone Email   Don't contact me yet, when I'm ready I'll contact you.  (You can print and send this form)
I want to sell my:
Townhouse Condo House Apartment Building Lot
When:
Immediately 1-2 months 2-4 months 4-6 months 6 months to a year No time frame. If something happens in my life, I might consider selling. I want to receive email updates on local sales. Please contact me. I want to receive email updates on local sales. Please do not contact me.
Regarding this property:
	I live in it.	I do not live in it.
After I sell my property I want to:
Buy another property in the area. Buy another property out of the area
Buy another rental property and defer my taxes via a 1031 exchange
I am not buying another property after I sell this one.
I am not sure what I'll do yet. We'll discuss options when we talk.
I may not sell now, but I do want to know what my home is worth:
Please contact me, I'd like you to see my home and give me an accurate evaluation.
Please contact me, I'd just like to receive a ballpark evaluation
Don't contact me. I'd just like to receive a ballpark evaluation via email.
Don't contact me. I'd just like to receive a ballpark evaluation via snail mail.
Optional Please write anything you'd like to add:
Thank you very much for completing this form.  I will follow up with you immediately. Don't forget, you can always contact me immediately toll free at (888)276-0656 or my cell phone (310)308-3174