Title:
Ms.
Mrs.
Mr.
Dr.
Prof.
Name:
Address:
City:
Province
Postal Code:
Phone:
Fax:
E-mail:
Number of Bedrooms:
1
2
3
4
5
Number of Bathrooms:
1
2
3+
Age:
Square footage:
Lot size:
Type of home:
Condo
Single Family Detached
Single Family Attached
Townhouse
Multi-family/Duplex/Triplex
Where is the location of the home you wish to sell?
What do you like about your current home?
What are your current home's special features?
What prompted you to buy where/when you did?
What are your reasons for relocating?