ROBERT DEFALCO REALTY
1678 Hylan Blvd.
Staten Island, NY 10305
(718) 987-7900
(718) 980-9842 fax
info@defalcorealty.com
NEW JERSEY
315 Route #34
Suite 105
Colts Neck, NJ 07722
TEL: 732-845-3200
FAX: 732-845-3201
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CONTACT INFORMATION
Name (First, Last):
Address of Property:
City:
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PROPERTY INFORMATION
Resident Status:
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Primary Residence
Secondary Residence
Vacation Home
Rental
Relationship:
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Legal Owner
Renter
Landlord
Property Manager
Potential Buyer
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Type of Property:
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Single Family Home
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Townhouse
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# of Bedrooms:
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0
1
2
3
4
5
6
7
8
9
10
# of Bathrooms:
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1
1.5
2
2.5
3
3.5
4
4.5
5
Basement:
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Finished
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Parking:
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Garage
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Spaces:
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1 Car
2 Cars
3 Cars
More than 3
Overall Condition:
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1 Poor
2
3
4
5 Fair
6
7
8
9
10 Excellent
Lot Size / Acreage:
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City Lot
1/2 Acre
1 Acre
2-5 Acres
5-10 Acres
10+ Acres
Unsure
Approx. Square Footage:
Listing Status:
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For Sale by Owner
Yes - With an Agent
Planning to Sell:
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Right Away
90 Days
6 Months
12 Months
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