Submitting a Request for Free Information & Realtor's Assistance in Selling Your Home Maxwell Realty Company, Inc.  and Nancy Alperin

All your inputs must be entered into the following request form to allow your request to be processed. We can assist you in selling or buying your home. Enter a city(s) or area(s) you are interested in selling property. Please be specific.     Please check the type of home you want to sell: Single Family Residence Townhome or Condominium Check Features and Size : Single Story Two Story 2 Bedrooms 3 Bedrooms 4 Bedrooms 5+ Bedrooms 1 Car Garage 2 Car Garage 3+ Car Garage Less than 1,500sf 1,501-2,000sf 2,001-2,500sf 2,501-3,000sf 3,001+sf 5,001+sf Estimated value of your home: Less than $100,000 $100,000 - $125,000 $125,000 - $150,000 $150,000 - $175,000 $175,000 - $200,000 $200,000 - $225,000 $225,000 - $250,000 $250,000 - $275,000 $275,000 - $300,000 $300,000 - $350,000 $350,000 - $400,000 $400,000 - $500,000 $500,000 - $600,000 $600,000 - $700,000 $700,000 - $800,000 $800,000 - $900,000 $900,000 - $1,000,000 $1,000,000 - $1,500,000 $1,500,000 - $2,000,000 $2,000,000 - $2,500,000 $2,500,000 - $3,000,000 $3,000,000+ When do you need to sell?:    Now 1-3 months 3-6 months More than 6 months Do you plan to purchase a new property in the area?:    Yes         No

*IMPORTANT: Fields below noted with an * must be completed for us to process your request.

* First Name * Last Name * Email * Day Phone * Evening Phone Street Address City State Please Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming Zip Code Enter additional information desired : Would you like our professional & experienced assistance for buying or selling a home? Yes, for buying a home! Yes, for selling our home! Yes, for selling & buying a home We are not quite ready.   Please contact us in: 1-3 months 3-6 months

Do not remember the above information in this PC for future request. (Select this when using a public computer.)

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