Please complete the following form as completely as possible.  Once submitted we will begin immediately to complete your FREE Market Analysis. * REQUIRED INFORMATION   Name (First, Last):* Street Address:* City:* State *    Zip: Home Phone: E-Mail Address:* Relationship with Property: Select One Owner Renter Landlord Potential Buyer Type of Property: Select One Single Family Multi-Family Townhouse Condominium Commercial Style of Home: (Two story, ranch, split level, etc) Select One Two story Ranch Raised ranch Tri-level Tudor Victorian Contemporary Colonial Exterior description: Select One All brick Brick front Vinyl siding Wood exterior Composition siding Sanitary Sewers? Select One Public sewers (connected) Septic system Year Built: # of Bedrooms:* # of Full Bathrooms:* # of Half Bathrooms: # of Fireplaces: Approximate Square Footage: Lot Size / Acreage: Select One City Lot 1/2 Acre 1 Acre 2-5 Acres 5-10 Acres 10+ Acres Heat Type: Select One Forced air Boiler hot water baseboard Radiator Air Conditioning Type: Select One Central Air Window Unit None Basement: Select One Full Finished Full Unfinished Partial None Slab Pool? Select One None Inground Above ground   Garage? Select One Attached 2 car garage Attached 1 car garage Detached 2 car garage Detached 1 car garage Carport Property Condition: Select One Poor Fair Good Very Good Excellent Comments:  Please describe any amenities that your home may have.  EG: (Ceramic tile, updated kitchen, new electric etc.) When are you planning to sell?* Select One Immediately 3 Months 6 Months 12 Months Are you looking for another home? Select One Yes- need bigger home. Yes- need smaller home. Do not need another home. Is your home currently listed?* Select One For Sale by Owner Not Currently Listed Yes - With an Agent How did you hear about  Great Lakes Real Estate? Select One TV Ad Postcard Internet Newspaper Ad Other Would you like our  free Home Buying & Selling Newsletter? Yes No

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