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	Property Information
	Street Address:
	City:	State:  AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA DC WV WI WY Zip:
	Property Type:	Single family home Townhouse Condominium Duplex Multi-family Mobile home Manufactured home Other	Ownership Status:	Legal owner Renter Landlord Other
	Stories:	One story Two stories Three stories Split foyer Split level Ranch Other	Resident Status:	Primary residence Rental residence Other
	Square Footage:	0 - 500 501 - 1000 1001 - 1500 1501 - 2000 2001 - 2500 2501 - 3000 3001 - 4000 4001 - 5000 5001 +	Property Status:	Not on the market Listed with an agent For sale by owner Other
	Bedrooms:	0 1 2 3 4 5 6 7 8 9 +	Property Age:	0 - 5 Years 6 - 10 Years 11 - 15 Years 16 - 20 Years 21 - 25 Years 26 - 30 Years 31 - 50 Years 51 - 100 Years 100 + Years
	Bathrooms:	0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 +	Acreage:	City lot None 0 - 0.1 Acres 0.2 - 0.3 Acres 0.4 - 0.5 Acres 0.6 - 0.75 Acres 0.76 - 1 Acres 1.1 - 2.0 Acres 2.1 - 5.0 Acres 5.1 - 10 Acres 10.1 + Acres
	Heating:	Forced air Gravity heating Natural gas Propane Solar Wall gas Electric Floor furnace Heat pump Radiant Wall electric Other	Air Conditioning:	None Central air Dual EpnP/Rative Wall window Other
	Parking Type:	None On-street Off-street Garage Carport Other	Parking Size:	One car Two cars Three cars + Not applicable Other
	Amenities:
	Rate Your Home:	Excellent Condition Needs Minor Touch-Up Needs Some Work/Dated Poor Condition Needs Work
	Name of Your Neighborhood:
	I plan to sell my home:		immediately in 30 - 60 Days in 61 - 90 Days in 91 - 120 Days later this year (Not Applicable)
	After I sell my house, I plan to:		stay local relocate (not applicable)
	How did you hear about us?:		Friend Search engine Newspaper Mailer Television Billboard Realtor e-Mail Other
	Comments:
	Contact Information
	First Name:		Last Name:
	E-Mail:		Daytime Phone:
	Evening Phone: