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BROCKSREALESTATE.com


Please complete this Seller Reqest for Service Form,in order to complete the research of your choice. If available,the research will consist of a minimum of 3 other home comparisons.

Also, please push the submit button at end of request or I will not receive your request.

Hello

My name is ____________________________ My address is: __________________________________ my email address is. I am looking to have a  Free Market Analysisof my property done. 

 How did you hear of our agency? 

Referred by _____________________________, Advertising: _____________, Lawn Sign on what block? _____________, Internet Marketing: ________________._____________________________________

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Name of Person Requesing Service:


your email address:


Telephone Number:


Best time to contact you:


Town or property Search:


Bedroom (s) Bath (2):


Basement (full/finished):


Style, Capes, colonial etd:


Pre Foreclosure?Bank Owned?:


Comments, ie, garage, when?:



Are you human?
No:   Yes: