Seller's Request Form:

All information will be kept strictly confidential.

This form is strictly for home sellers, ALL SPAM IS REPORTED TO spam@uce.gov

Name:	Spouse/co-Seller:
Phone #:	Work #:
email address:	Fax #:
Current Address:
City:	State:	Zip:
Contact me: Morning Afternoon: Evening:
Address for Sale (If different from above)
City: Major Cross Streets:

Select all that describe your Property:


Living Room Family Room Formal Dining Room Arizona Room Bonus Room Home Office	Fireplace Private Pool Private Spa Alarm System Central Air Evaporative Cooling	Eat In Kitchen Upgraded Floors Covered Patio Irrigation Front Irrigation Rear	Refrigerator Washer Dryer Reverse Osmosis Water Softener

Community Features:
Club House Community Pool Community Spa Playground Gym	Golf Other Sports Lake Horse Property Aviation Property	Homeowners Association Gated Community Mountain Views City Lights Views 55+ Community
Additional Features:


Your Asking Price:		Amount owed on Mortgage(s):

If you have any additional information to add or any questions, you may add that here:

ALL SPAM WE RECEIVE IS REPORTED TO spam@uce.gov

Home Page Contact me

JEFF BLAIR, REALTOR^®, GRI^®,e-PRO^®
http://www.fastsold.com/
West USA Realty
2266 S. Dobson Rd - Mesa, AZ 85204
Tel: 480.703.0049
Office: 480.820.3333