Personal  Information

*  First Name:   *  Last Name:  
Email:     *  Best phone # to reach me:  
Best time to call        
When are
you moving
  Property Information
Suite #     State TX  
City     Zip  
Number of bedrooms     Number of
Number of Story     Penthouse   Yes       No
Living Sq. footage     Parking
Name of the Building:          
Pool   Yes       No   Concierge   Yes            No
Valet Parking   Yes       No        
Overall Condition?  
    Comment - 1 Poor , 10 Excellence


Are you working with an agent?   Yes       No
Question or comment:

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