New Seller Form
Please provide the following information so that we may better serve you.
* Fields are required

First Name:
*

Last Name:
*

Address:


City:


State:


Zip:


Home Phone:


Cell Phone:


Work Phone:


Fax:


E-mail: *required field
*


Children:
Yes No
Ages:


Names:



Pets:
Yes No
Names:


Type:



Seller Source: How did you hear about the Porritt Group?
Open House Internet Sign Phone Book Referral Advertisement Previous Customer Lender Other


Home Info:

Subdivision:


House Style:


Year Built:


Sq. Ft.:


Acres:


Bedrooms:


Baths:


Garage:


Basement:


Special Features:


Other Info:


Reason for selling:


How soon are you looking to move?:


Will you be looking for a new home in the area?:


What are your new home needs?:


How long have you lived there?:


Do you have to sell this home to purchase new one:
Yes No

Do you have any idea of the house value?: