DATE __________________

NAME ________________________________________________

PROPERTY ADDRESS ____________________________________

CONTACT ADDRESS  ____________________________________

CITY __________________        STATE _____        ZIP ________

PHONE ____________________

FAX________________________

PAGER_____________________

E-MAIL_____________________

PROPERTY DESCRIPTION (2br ranch etc.)This home is a lovely 3 bedroom, 2 bath, brick tri-level with unfinished 4th level. Fireplaces adorn the master bedroom and the family room for cozy winter nights. A 3 car attached garage with individual garage door openers includes a 625 square foot Bonus Room above the garage. The professionally landscaped yard has a 6 foot privacy fence. Gas-forced air heats this approximately 3500 square foot home.

PRICE _____________________

TERMS __________________________________________________________

#BEDROOMS _______      #BATHROOMS _______

BEDROOM #1 SIZE _________               BEDROOM #4 SIZE _________
         2 SIZE _________                        5 SIZE _________
         3 SIZE _________                        6 SIZE _________

GARAGE (attchd/detchd/carport 2c 3c etc)_______________________________

TOTAL SQ FT ___________

SCHOOLS ________________________________________________________

UTILITIES (gas water/heat/etc) ________________________________________

LOCAL TRANSPORTATION (bus line, etc)___________________________