Contact Information

Name

Phone Number

E-Mail Address

Please Choose One Morning Afternoon Evening (up to 9:00 P.M.) Best Time To Contact You

Property Information

Please Choose One Single Family Lot or Vacant Land Farm or Ranch Income or Investment Stand Alone Business Other (Please Specify in Comments Section) Type of Property

Please Choose One Ranch 2-Story 3-Story Bungalow Other (Please Specify in Comments Section) Style or Design

Please Choose One Wood Frame Vinyl or Aluminum Brick Stone Other (Please Specify in Comments Section) Type of Construction

Approximate Age or Year Built

Approximate Size (Square Feet) of Home

Number of Bedrooms     Number of Baths

Property Address

Property City

 OHIO   Property State     Property Zip Code

Check  All That Apply

Full Basement   Finished Basement   Fireplace   Central Air Conditioning   F\A Furnace

Main Floor Laundry   Pool   Storm Windows   Thermopane Windows   Well Insulated

Please Choose One None 2-Car Attached 2-Car Detached 1-Car Attached 1-Car Detached Other (Please Describe in Comments Section) Carport Garage

Additional Comments and Features That Should Be Considered

Helpful Information

Please Choose One Immediately Within 2 Months Within 6 Months Within 1 Year Undecided When to Sell

Yes   No       Need To Find a New Home?