Address of the property
*
First Name
*
Last Name
*
Phone
*
Email
*
Occupancy
*
Vacant
Owner occupied
Tenant occupied
Squatters
Land
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Repairs needed
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New / Renovated
Need cosmetic updates
Need full update
Full gut rehab
Tear down
Land
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Is the property currently listed on the MLS?
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Yes
No
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Asking price
$
Reason for selling
Financial Hardship
Pre-foreclosure
Divorce
Bankruptcy
Relocation
Downsizing
Cashing out on my equity
Prefer not to say
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When would like to sell?
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Within 30 days
30 to 90 days
More than 90 days
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