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Contact Information
* Name:
* Phone:
Fax:
* Email Address:
Best time to contact you:
Property Information
* Number of bedrooms:
* Number of bathrooms:
* Square Footage:
* Property Address (include city, state and zip):
* Type of property: Single Family
Townhouse
Condominium
Duplex
Triplex
Fourplex
Ranch
Lots & Land
Vacation
Other
Check all that apply: Den / Office
Deck / Patio
Living room
Formal dining room
1st floor laundry
Fireplace / Wood Stove
Full attic
Finished basement
Eat in kitchen
Hardwood floors
Ceramic floors
Pool
Off street parking
Separate utilities
Central vacuum system
Security system
Air Conditioning: Central
Wall unit(s)
None
Other
Heating System: Forced air
Baseboard
Electric
Gas
Oil
Other
* Waterfront: Yes
No
Garage: Attached 1 car
Attached 2 car
Attached 3+ car
Detached 1 car
Detached 2 car
Detached 3+ car
Carport
None
Additional Features:
Helpful Information
When are you considering selling? Immediately
Within 2 months
Within 6 months
Within 1 year
Undecided
Need to find a new home? Yes
No
Comments:
       


31 Erie Canal Drive, Suite E
Rochester, New York 14626
Business: (585) 723-1800 ext. 720
Cellular: (585) 738-1642
Fax: (585) 227-8730
Email: 
WayneEFears@aol.com
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