Seller

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* 1. Contact

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. What is the street address of the property?

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* 3. When are you looking to sell?

Date / Time

Date

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* 4. Are you interested in exploring the option of renting the home?

Yes

No

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* 5. What is your ideal selling price?