Name
**required**

Address

City, State, Zip

Phone #'s
- Work
- Home
- Fax
- Cell

Best Times to Reach You

Primary Email Address
**required**

Reason for Moving

Where will you move if you sell?

Will you be purchasing another property prior to this sale or after this sale?
- Yes
- No

Factors effecting your move (i.e. selling home, finding new job, any other major desicision that has to reached before you buy, etc.)

Time Frame:

What is you goal for a date for the house to be sold?

If not sold by then, describe your options at that point.

How long has it been since you've sold a home?

Did you sell it through a Realtor?
- Yes
- No

How long have you owned your current property?

Do you have a current loan on the property?
- Yes
- No

Have you considered the option of selling on your own?
- Yes
- No

Are you willing to carry any of the financing when you sell?
- Yes
- No

Who are the legal owners of the property?

Does anyone other than these legal owners have to approve your decisions regarding selling?
- Yes
- No

House Condition:

Are there any outstanding repairs that need to be made to the home?
- Yes
- No

Have you had any recent structural or pest inspections?
- Yes
- No

Have you had any recent appraisals done?
- Yes
- No

What major improvements to the property have you made since you bought it?

What online services would you expect your Realtor to have?

- Online newletter to clients and agents

- Online postcard system

- Web page on each property

- Online slide show of at least 6-8 photos per house

- Online secure chat room for Realtor and Cleint to interact together regarding listings and sale of listing

- Site features that provide links about the community

- World Merge capabilities to email new listings to local agents for immediate exposure

On a scale from 1 - 5 (1 being low, 5 high), please rank the importance of

Multiple Listings
1 2 3 4 5

Buyer Qualifications
1 2 3 4 5

Broker Commisions
1 2 3 4 5

Showing Procedures
1 2 3 4 5

Advertising
1 2 3 4 5

Open House
1 2 3 4 5

Inconveniences
1 2 3 4 5

Possesion
1 2 3 4 5

Pricing
1 2 3 4 5

Closing Costs
1 2 3 4 5

Security
1 2 3 4 5

Financing
1 2 3 4 5

Negotiations
1 2 3 4 5