Seller Home Marketing Inquiry Form


Please fill out the form below to
provide us with information about your home.


* = Required Field

* Name:
*Address:
*City:
*State:
*Zip:
*Email Address:


* Best phone number to reach you at:
(please include area code)
-

* Best time of the day to reach
you at the above phone number:
DAY
EVENING
ANYTIME


Alternate Phone Number
(please include area code):
-

Best time of the day to reach
you at the above phone number:
DAY
EVENING
ANYTIME


Is the Home You are Selling Your Principle Residence?
YES
NO


How Soon Do You Plan to Sell Your Home?



The Style of the Home You will be Selling:



What is the Approximate Square Footage of your Home?



What type of Construction is your Home?



What is the Approximate Year Your Home Was Built?



What Area Or City Will You Be Moving To?



Will You Need Assistance In Purchasing Another Home?
YES
NO


Please use the box below to write additional comments
or specific information pertaining to your relocation needs.



How Did You Find This Web Site?
(Yahoo, Infoseek, Web Crawler, web directory, link page, etc.)





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Steve Hatfield, Realtor®
CENTURY 21 Curran & Christie
25636 Ford Road
Dearborn Heights, MI 48127
Office: (313) 274-7200
eMail:


Copyright © 1996 - Steve Hatfield
Any Reproduction or Redistribution Without Authorization is Strictly Prohibited

Visit Steve's other web site at DearbornHomes.com