1. Property Information:
Property Address
City
Zipcode
Total Square Feet
Number of Bedrooms
Number of Baths

2. Features/Amenities: (Please check all that apply)
Den
Formal Dining Room
Family Room
Pool
Spa
Guest House
Maid's Room
Please Select an Option Ocean Golf Course Mountain / Canyon Lake / Bay City Lights Park / Greenbelt .................................. View
Please Select an Option Single Family Residence Townhouse / Condo Duplex Triplex (+) Other ................................. Residence Type
Please Select an Option One Car Two Car Three Car Four Car (+) Carport Detached .................................. Garage
Please Select an Option One Two Three Four (+) .................................. Fireplace(s)
Please Select an Option Central Wall Unit/Other .................................. Air Conditioning

Any other notes, features or comments you would like to make?

3. Your Contact Information:
Your Name*
Email Address*
Phone Number*
Best time to contact you: Morning Afternoon Evening
Fax
Street Address (if different from above)
City
Zipcode

Are you currently working with another brokerage or agent?
Yes No