HOME VALUE ASSESSMENT

Name:
Daytime Phone:
Evening Phone:
E-mail Address:
How would you like to be contacted:

Please Select Daytime phone Evening phone E-mail

Street Address:

City:

State:

Zip code:

Type of Property:

Please Select Single Family Condo/Coop 2 Family 3+ Family Land
Year Built:

Property Condition:

Please Select Excellent Good Fair Needs Updates Handyman
Style of the home:

# of Bedrooms:

#of Bathrooms:

# of Fireplaces:

Approximate square footage:

Basement:
Please Select finished unfinished
Parking:
Please Select 1 Car 2 Car 3+ Car
Heat Type:

Air Conditioning:
Please Select Yes No
Lot size/Acreage:

Pool:
Please Select Yes No
Status:
Please Select Not Listed For Sale By Owner Working With a Realtor
When are you planning to sell?
Please Select Immediately 1-3 Months 3-6 Months 6-9 Months Longer
Where you will be moving to:

If you are working with a RE/MAX agent, please enter the agent's name: