Office:416.222.8600 / Fax:416.222.1237 / Email:
waynekahn@rogers.com
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Please fill out the following form. All fields marked with an asterisk (*) are required fields.
CONTACT INFORMATION
Full Name*:
Phone Number*:
Fax Number:
E-mail*:
PROPERTY INFORMATION
Address of the home you want to sell*:
City*:
Province*:
Postal Code*:
Whose name is the home titled in?:
Are you living in the home, is it rented or is it vacant?
Living in the home
Renting the home
The home is vacant
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How long have you owned this property?
Less than 1 year
1-3 Years
3-5 Years
5-10 Years
10-20 Years
Longer than 20 Years
I really don't know
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What type of home is it?
Bungalow
2 Story
Side Split
Back Split
Condo
Other
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What is the approximate Square Footage?*
600 - 800
800 - 1000
1000 - 1200
1200 - 1400
1400 - 1600
1600 - 1800
1800 - 2000
2000 - 2200
2200 - 2400
2400 - 2600
2600 - 2800
2800 - 3000
3000 - 3500
3500 - 4000
4000 - 5000
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What is the approximate Lot Size?*
15x 80
20x 100
30x 100
40x 100
50x 120
60x 120
70x 130
80x 150
100x 120
100x 150
100+ x 150+
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Home backs onto ...?*
Other Houses
Park/Greenbelt
Train
Hydro
Other
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How many bedrooms above the basement?
1 Bedroom
2 Bedrooms
3 Bedrooms
4 Bedrooms
5 Bedrooms
6 or more Bedrooms
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How many bathrooms?
1 Bath
1 1/2 Baths
1 Full Bath
2 Baths
2 1/2 Baths
3 Baths
3 1/2 Baths
4 Baths
4 1/2 Baths
5 or more Baths
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What type of exterior do you have?
Aluminum
Brick
Stone
Vinyl
Wood
Shingle
Stucco
Combination
Other
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What type of basement do you have?
Finished Basement
Unfinished Basement
Partially Finished
Walkout
Apartment
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What type of heating system do you have?
Natural Gas Furnace
Propane Gas Furnace
Gas Hot Water Boiler
Electric Hot Water Boiler
Electric Furnace
Electric Baseboard
Electric Heat Pump
Electric Radiant Heat (ceiling)
Fuel Oil Furnace
Wood Furnace Addon
Wood Stove (free standing)
Wood Stove (fireplace insert)
Fireplace
Geothermal
Other
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What type of air conditioning do you have?
Central Air
Heat Pump
Window Air
Wall Unit Air
Attic Fan
Geothermal
Other
None
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What type of garage do you have?
1 Car
1 1/2 Car
2 Car
3 Car
4 Car or Larger
Car Port
Attached Garage
Detached Garage
Combination
Other
None
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Tell me about any special features, recent improvements or updates that you think will help your home's resale:
Have you had the home appraised within the past 5 years?
Yes
No
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What do you estimate the market value of your home to be?
What would happen to your plans if it sold for less than that figure?
What is a good time to contact you?*
Morning
Afternoon
Evening
Weekend
Any Time
Other
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Thank you for taking the time to complete this form.
We will be in touch with you.