Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Why do you want an analysis? Please check one:  Planning to sell  Refinancing Plans Other

If you're planning to sell, how many months before you plan to put it on the market?  less than 6 months

less than 1 year but more than 6 months more than 1 year.

How would you rate the attractiveness of your property (with 1 being the worst and 10 the best)? 

1 2 3 4 5 6 7 8 9 10

How old is your property?     years    

Approximate air conditioned sq. ft (not including garage)       

Do you have a pool? Yes    No

Waterfront? Yes    No

Gulf Access? Yes  No

Approximate boating time to Gulf?   minutes

Number of Bedrooms?

Number of Bathrooms?

Garage size   one car detached one car attached two car detached two car attached three car detached three car attached more than 3 car no garage

Approximate Size of lot?

How would you describe the condition of your property (i.e. immaculate; needs minor repairs; needs some repairs; or a handyman special)?

Anything else that you think may enter into your property's value?