License
Number: RB065661
730 North Duke Street
Lancaster, PA 17602
A PA Licensed Real Estate Company
Dear
First_Name,
Thank you for contacting Real Choice Real Estate, Inc. We will contact you
per your instructions by no later than the next business day.
The following confidential information had been submitted to our office.
|
Information Received |
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Seller Information |
Buyer Information |
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Is your property currently listed with another real estate company? |
Subject |
Do you currently have a "Business Relationship Between Broker and Buyer" (A.K.A. Buyer Agency Agreement) with another real estate company? | Do_you_currently_have_a_Business_Relationship |
| If Yes, when does your current Listing Agreement Expire? | If_Yes_when_does_your_current_Listing | If Yes, name of Realtor: | If_Yes_name_of_Realtor2 |
|
If Yes, name of Realtor: |
If_Yes_name_of_Realtor | Firm: | If_Yes_name_of_Firm2 |
|
Firm: |
If_Yes_name_of_Firm |
If Yes, When Does Your Current Agreement Expire: |
If_Yes_When_Does_Your_Current_Agreement |
|
Address
of property
you would like to sell: |
Address_of_Property_to_Sell |
Type of
Property you would like to purchase: |
Type_of_property_you_would_like_to_purchase |
| City: |
City |
If you
Selected "Home", please describe the type of home you desire: |
Please_describe_the_Type |
| State: |
State |
Minimum Number of Bedrooms: | Number_of_Bedrooms |
| Zip: |
Zip |
Minimum Number of Bathrooms: | Number_of_Bathrooms |
| Type Property: |
Type_of_Property |
Parking Requirements: | Parking_Requirement |
| Comments: | Comments | Size of Lot: | Size_of_Lot |
| Area's by School District: | Area_By_School_District | ||
|
Price Range: |
Price_Range | ||
|
Comments: |
Comments2 | ||
|
Your Contact Information |
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| First Name: |
First_Name |
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| Last Name: | Last_Name | ||
| Mailing Address: | Mailing_Address | ||
| City: | City2 | ||
| State: | State2 | ||
| Zip: | Zip2 | ||
| Home Phone: | Home_Phone | ||
| Best Time To Call: | Best_Time_To_Call | ||
| Work Phone: | Work_Phone | ||
| Best Time To Call: | Best_Time_To_Call4 | ||
| E-mail Address: | Email_Address | ||
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Thank you for choosing Sincerely
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J. Michael Stum
Copyright © 2001 Real Choice Real Estate, Inc. All rights reserved.
Revised: 04/27/07