YOUR CONTACT INFORMATION
Name (First, Last):
Address of Property:
City:
Postal Code:
Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland/Labrador
Nova Scotia
NWT/Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Email:
PROPERTY INFORMATION
Resident Status:
Choose One
Primary Residence
Secondary Residence
Vacation Home
Rental
# of Bedrooms:
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0
1
2
3
4
5
6
7
8
Relationship:
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Legal Owner
Renter
Landlord
Property Manager
Potential Buyer
Other
# of Bathrooms:
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0
1
1.5
2
2.5
3
3.5
4
4.5
5
Type of Property:
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Single Family Home
Multiple Family Home
Townhouse
Condominium
Manufactured Home
Parking:
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Garage
Carport
On Street
Off Street
No Covered Parking
Overall Condition:
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1 Poor
2
3
4
5
6
7
8
9
10 Excellent
Spaces:
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None
1 Car
2 Cars
3 Cars
More than 3
Lot Size / Acreage:
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City Lot
1/2 Acre
1 Acre
2-5 Acres
5-10 Acres
10+ Acres
Unsure
Listing Status:
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Not Currently Listed
For Sale by Owner
Yes - With an Agent
Approx. Square Footage:
Planning to Sell:
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Right Away
Within 90 Days
Within 6 Months
Within 12 Months
Basement:
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Finished
Partially Finished
Unfinished
None
How did you hear about us?
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Radio
Online Banner Ad
Online
Search Engine
TV
Referral from Friend
Newspaper
Agent
Postcard
Internet
Sign
Other
Please list any Special Features of Your Home and Property
Security Code:
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