First Name:*
Last Name :
Home Phone
Work Phone
Email *
Property Address *
County	-Select- Baltimore County Baltimore City Anne Arundel Howard Harford Prince George's Other
What is your situation Why are you selling?
How soon do you need to move out?	-Select- 1 month 2 months or more Already Moved-Property is Vacant Property is Tenant Occupied
How much do you think your house is worth?
How did you arrive at this price?
What type of house? *	-Select- Townhouse/Rowhome Single Family Detached Duplex/Semi Detached Multi-Unit Condo Other
Number of Bedrooms *	-Select- 1 2 3 4 5 6 7+
Number of Bathrooms *	-Select- 1 1.5 2 2.5 3 3.5 4 4.5 5+
Basement *	-Select- None Unfinished Partially Finished Finished
Is the house currently listed with a Realtor?	No Yes
What is the current condition of the property?	-Select- Excellent Good Fair Poor
What kind of repairs or updating does the property need?
How much do you think these repairs will cost?
What is the balance of the mortgage(s) on the property?
Is your mortgage(s) current?	No Yes
How did you find out about us? *	-Select- Road Side Signs Craigslist Google Other Search Engine Other Website Word of Mouth Other
Questions, Comments, or Other Information