Property Seller Response Form

SELLER REQUEST FORM

Inquiries, comments or questions are welcome.

*(denotes required field)

First Name:*

Last Name:*

E-Mail Address:*

Contact Phone*

Best time to contact

All Day Morning Afternoon Evening

Home Style?

1 Story 1 1/2 Story 2 Story 2 to 3 Story Multi-level 2 to 4 plex Other

Approx. Age?

0-5 yrs 5-15 yrs 15-30 yrs more than 30 Yrs

Exterior?

Select One Brick Stone Block inyle Wood Stucco Sedar Other

Bedrooms?

0 1 2 3 4 5 6 6+

Bathrooms?

0 1 2 3 4 5 5+

Coverage/Square Footage?

Property Address? No. & Street Name

City/Town?

Postal Code?

Subdivion Name? (Leave blank, if none)

Lot size or Acrage?

Type of heating?

Select One Natural Gas Electric Hot Water Propane Oil Other

Type of Airconditioning?

None Central Window Or Wall Heat Pump Other

Swiming Pool?

None Inground Above Ground

Sprinkler System?

Yes
No

Security System?

Yes
No

Fireplace?

Yes
No

Deck?

Yes
No

Garage?

Select One 1 Car 1 1/2 Car 2 Car 3 Car More than 3

Cross Roads?

Presently working with an Agent?*

No
Yes

Preferred ProClient Agent, if any?

Message/Comments

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• ProClient Realty Inc., Brokerage

  350 Main Street E # B
  Milton, ON, Canada L9T 1P6
  ph: 416.364.5550

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