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Personal Information

How we can get ahold of you!

Title

Full Name

Mobile Primary Phone

Secondary Phone e.g., Landline

Email Address

Ideally, When would you like to move?

Other remarks or comments?

House Details

Details about your existing house

Home Type

Address

Unit No

City

State

Zip Code

What year did you buy the house?

How many square feet? Approximately

ft²

Estimated lot size

Approx year built

Bedrooms

Bathrooms

House Condition & Finishings

To give us an idea of the current value

Your opinion of "as-is" value?

$

Current Condition

Age of Roof

Kitchen Flooring

Kitchen Countertops

Bedroom Flooring Just choose one

Common Area Flooring

Bath Countertops

Any other comments on the house?

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Memphis Jacksonville Orlando

Services

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Company

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