Sellers Request Form- List Your Home Here



I'm pleased that you're interested in speaking with me.  In order for me to contact you, please fill-out the following Sellers Request Form.  Your response is appreciated and will greatly help in pricing your home.  To see what I can do for you to sell your home, see my Seller's Marketing Plan.

(Fields with an * are required)

I respect your privacy and will not release, sell or give your information to any other party or organization.

Input Your Information
Sellers Request Form
* Name
* Email
* Address
* City
* State
* Zip
Selling Property Address (if different from above)
* Are You Currently Working with another Realtor?
* Date You Would Like to Put Your Current Home on the Market (mo/day/yr)
* Number of Bedrooms
* Number of Baths
* Car Garage
Additional Features of Your Home
* Have you already found your next home to buy?
* How Did You Hear About My Website? Internet, Newspaper, Direct Mail, Yard Signs, Radio, TV, Referral, Other
Any Special Requests, Questions or Concerns?


West USA Realty
15128 W Bell RD #10 • Surprise, AZ 85374
BETTY HARMON * DIRECT: (602) 574-3783 • *Each office is independently owned and operated*
EMAIL: * FAX: (888) 882-7715
Direct: (602) 574-3783 * Office: (602) 942-4200
Betty Harmon, REALTORĀ®, GRI