Sell Your Home!

Please fill out this form and let Louis make an offer for your home or call 941-916-5322 !

Please provide the following contact information:

First Name

Last Name

Street Address

City

State

Zip

Day Phone

Evening Phone

FAX

E-mail

Please provide the following information about the house you want to sell:

Street address
City
State/Zip
# of Bedrooms	1 2 3 4
# of Baths
Size of home
Condition
Garage/CP
Type	Frame Block CB/Frame
Pool	No Yes
Vacant
Amount if rented
Lease ends ?
Asking Price

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Revised: 12/18/05