Name: *

Spouse Name:

Email: *

Phone Number: * (XXX) XXX-XXXX

Best time to Call: (example: weekdays 9-5pm)

Street Address: *

City: *

Type of Home: * Select one: Detached Townhouse Duplex Apartment Land Other

Style of Home: * Select one: 2 Storey 2 Storey Split Bungalow Bi-level 3 level Split 4 level Split Other

Year Built: *

Home Size: * Square Feet ft

Total # of Bedrooms Above Grade: *

Total # of Bedrooms: *

Total # of Bathrooms: * Decimals indicate half baths. Example: 1.5 = 1 full & 1 half bath

Basement: * Please Select... No Basement Fully Finished Partly Finished Unfinished Remodelled Basement Suite Walkout See Comments

Parking/Garage: * Please Select... No Garage Single Garage Attached Single Garage Detached Double Garage Attached Double Garage Detached Triple Garage Attached Triple Garage Detached Quad or More Attached Quad or More Detached Single Indoor Double Indoor Single Carport Double Carport Breezeway Front Drive Access Rear Drive Access Front and Rear Drive Access Parking Pad Cement or Paved Parkade On Street Off Street Over Sized Rv Parking Shop Stall Underground See Comments

Listing Your Home: * Please Select... Immediately Within the Next 30 Days Within the Next 60 Days Within the Next 90 Days Over 90 Days From Now Unknown

Additional Comments: