Name of Seller(s):

Street Address:

City:          Zip:

Projected Asking Price:

Property Type:

Single Family      Two Family      Lot      Condo      Other

# of Bedrooms: 1 2 3 4 5 6 N/A                # of Bathrooms: 1 1.5 2 2.5 3 3.5 4 4.5 5 N/A

Total Square Feet:      Lot Size (acres):  

Year Built:

Phone #:

Best Time to Contact:

Email Address:

Phone # for Yard Sign & Web Site Listing:

Which plan are you interested in?:

MLS Listing Plan  FSBO Marketing Plan  Discount Full Service

MLS Listing Plan w/ Closing Coordination Services  Not Sure

Additional Comments: