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Your Name: E-mail Address: Your Mailing Address: City: State: Zip Code: Home Telephone: Work Telephone: Fax Number: Best Time And Method To Reach Out: -Please Select- Morning Afternoon Evening Email Only Fax Only Mail Only Property Information: Please provide information about your property so we price your home accordingly. Please keep in mind: The more information you provide, the more accurate your price analysis will be. Type of property: -Please Select- Single Family Townhouse Condominium PUD Duplex Triplex Fourplex Custom Cooperative Ranch Lots and Land Retirement Vacation Other Property Address: Property City: Property Zip Code: Number Of Bedrooms: Number Of Bathrooms: Square Footage: Check all that apply: Family Room Den Formal Dining Room Laundry Room Spa Fireplace Pool Guest House Storage Cellar/Basement 2 Story Air Conditioning: -Please Select- Central Wall Unit(s) None Other Heating System: -Please Select- Central Wall Unit(s) None Other View: -Please Select- Bay Lake Ocean Canyon Natural Greenbelt Mountain City Lights Garage: -Please Select- Attached 1 Car Attached 2 Cars Attached 3+ Cars Detached 1 Car Detached 2 Cars Detached 3+ Cars Carport None Additional features or upgrades which should be considered: Helpful information   When do you plan to sell your home: -Please Select- Immediately Within 2 Months Within 6 Months Within 1 Year Undecided Are you looking for a new home: -Please Select- Yes No Questions or Comments:

Craig Emmerich, Realtor®
Cellular 252-514-6236
Facsimile 252-360-4582
Toll-Free 866-264-2590
Email:  cemmerich@coastalnet.com 
Keller Williams Realty
2117 S. Glenburnie Rd. Suite 14
New Bern, NC  28562