Number of Bedrooms 1 2 3 4 5 6 7 8 9

Number of Bathrooms 1 1 and 1/2 2 2 and 1/2 3 3 and 1/2 4 4 and 1/2 5

Square Footage of Home

Location of Property:
Street:
City:
Zip Code:

Please check each of the following features / amenities that apply:
Family Room            Pool             Formal Dining Room
Den                          Spa              Guest House
Fire Place                 View            Maid's Room

Please choose an option:
Air Conditioning: Central Wall unit(s) Other
Property Type    Single Residence Condominium Duplex Other
Garage               1 Car 2 Car 3 Car 4 Car 5 Car   Attached   Unattached

Any upgrades / remodeling which should be considered:

Additional features or comments:

Are you currently working with another Realtor?    Yes      No

Contact information:
Name:
Address:
City:
Zip Code:
Phone Number:
Cell Phone Number:
E-mail Address:
Fax Number