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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.

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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
Phone
Fax
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
* SQFT
* 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?
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West USA Realty
16150 N Arrowhead Fountain Center Dr, Suite 100 • Peoria, AZ 85382
Direct: (602) 574-3783 ** beharmon2@cox.net • ** WEST USA REALTY
Fax: (623) 815-7742
Direct: (602) 574-3783 Office: (623) 487-5096
Betty Harmon, REALTOR®, GRI, ABR, ASP
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