Owners Full Name(s)

Home Address

Property Address 

(if different than home address)

Subdivision

County

Please select Boone Cook DeKalb DuPage Grundy Jio Davies Kane Kankakee Kendall Lake LaSalle Lee Livingston McHenry Stephenson Will Winnebago Other

Email Address

Confirm Email 

Home Phone

Work Phone

Cell Phone

Other Phone

Interior Square Footage (excluding basement)

Lot Size-Frontage x Depth or Acres

When did you buy this property?

How much did you pay?

Why are you thinking about selling?

Will you be receiving relocation benefit or assistance from your employer?

  Please select Not Applicable No Yes Unsure

This property is

  Please select Owner occupied Rented Vacant

How soon are you thinking about selling?

  Please select Immediately Less than 6 months Less than 12 months Unsure when selling

Is this definite?

  Please select Yes No Unsure

Have you sold before?

  Please select No Yes, with a REALTOR Yes, by owner

This property is currently

  Please select Not on the market yet Will be listed with a Realtor Will be marketed For Sale By Owner Will not be sold

Describe the inside of your property to me in great detail, every room,  feature, improvement you've made, etc.  Go floor by floor - what's on the main floor, 2nd floor, 3rd floor, basement, etc. 

Other Interior Comments

I Should Know

Age *

  Please select 0-5 Years 6-10 Years 11-25 Years 26-50 Years 51-100 Years 100+ Years Age Unknown New Construction Recent Rehab Proposed Construction Under Construction Will Build to Suit Needs Work

Exterior *

  Please select Aluminum or Vinyl Sided Asbestos Siding Brick Brick and Siding Cedar Cement Block Combination Concrete Dryvit Frame Glass Limestone Log Marble/Granite Masonite Shakes Slate Stucco Unsure Other

Property Style * 

  Please select Unsure American 4 Square Bungalow Cape Cod Colonial Condo Contemporary Cottage (flat roof) English Farmhouse French Provincial Georgian Log Mobile Home Prairie Queen Anne Ranch (all one level) Spanish Split Level Split Level with Sub Basement Townhome Tranditional Victorian 1 story 1.5 Story 2 Story 3 Story 4 Story Coach House 2 Flat 3 Flat 4 Flat 5+ Units Vacant Land

Garage / Parking *

  Please select None Attached Detached 1 Car Garage 2 Car Garage 3 Car Garage 4+ Car Garage Auto Garage Door Opener Transmitter(s) Slab Gravel Carport Heated Leased Owned Underground To Be Built Side Drive Fee Permit Parking 1 Assigned Space 1 Parking Space 2 Assigned Spaces 2 Parking Spaces 3 Parking Spaces Unassigned Parking Off Street Off Alley Side Apron Visitor Parking Valet Parking

Lot Features *

  Please select Beach Chain of Lakes Frontage Channel Front Common Grounds Corner Cul-de-sac Fenced Yard Forest Preserve Adjacent Golf Course Lot Horses Allowed Irregular Lake Front Landscaped Professionally Legal Non-Conforming Paddock Park Adjacent Pond River Front Creek Stream Water View Rear of Lot Secluded / Private

Exterior Comments

I Should Know

Heat *

  Please select Gas Electric Oil Propane Solar Forced Air Hot Water Steam Baseboard Radiant Gravity Air Heat Pump Radiators Space Heater(s) 2+ Sep. Systems Individual Controls Zoned Other None

Air Conditioning *

  Please select Central Air Partial Space Pac 1 Window/Wall Unit 2 Window/Wall Units 3+ Window/Wall Units Zoned None

Electric *

  Please select Circuit Breakers Fuses 200+ Amp Service 150 Amp Service 100 Amp Service 2 Sep Services None

Roof *

  Please select Asphalt/Glass Shingles Asphalt/Glass Rolled Metal Rubber Slate Tar & Gravel Tile Wood Shakes Shingles Other New (under 1 year old) Newer (1-5 years old) Age - under 10 years Age - under 15 years Age - under 20 years Age - older/old Age - unknown Good condition Fair Condition Poor Condition Unknown Condition No roof !

Water

  Please select Lake Michigan Public Private Company Well - Community Well - Public Well - Private Company Well - Shared Other

Sewer

  Please select Septic - Mechanical Septic - Private Septic - Shared Sewer - Public Sewer - Storm Holding Tank(s) Overhead Sewers Other

Are you working with other agents?

Please select No, I'm not working with other agents. Yes, I am working with other agents.

Is your property currently listed with an agent?

Please select No, it's not listed. No, the listing recently expired. Yes, it's currently listed.

How much do you feel your property will sell for?

Extra Features / Major Improvements You've Made

What have you enjoyed most about your property?

What have you enjoyed most about your community?

Concerns / Questions?

What are your plans after you sell?

What do you want in your next home that you don't have now?

If I can't service your request, may I refer you to another great agent who can help you?

Yes, refer me to another agent. Don't refer me to another agent.

Would you like to receive an email updating you every couple of months on sales in your area?

Please select Send monthly sales updates. Don't send monthly sales updates.

Would you like to receive our monthly newsletters?

Please select Send monthly newsletters Don't send monthly newsletters.

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