O'Brien Realty :: Selling Your Home

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Selling Your Home

Required fields are indicated in red.

YES, I AM PLANNING TO SELL MY HOME AND I WOULD LIKE:
		to schedule an appt. to receive a FREE Comparative Market Analysis by an agent
		to speak to a Relocation Specialist about listing my home with an agent
		to request agent assistance in relocation to another area/country
		to receive info. about O'Brien Realty's Services & the benefits of working with our Realtors®

FIRST NAME

LAST NAME

CURRENT ADDRESS

ADDRESS 2

CITY

STATE

ZIP

PHONE (H)

PHONE (W)

PHONE (C)

E-MAIL

PREF. CONTACT TIME

AND METHOD

PROPERTY INFORMATION

	Property address is the same as listed above
	Property address is different from the one listed above
		OTHER ADDRESS

PROPERTY TYPE		YEAR BUILT
NUM. BEDROOMS	TO	NUM. BATHROOMS	TO
APPROX. SQ. FT.		LOT SIZE
GARAGE		BASEMENT

ADDITIONAL COMMENTS

Disclaimer: By submitting this form you are authorizing a Relocation Specialist and all entities of O'Brien Realty to contact you regardless of subscription to the National "Do Not Call List".

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