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				*Name: *Email: Phone:   Address: City: State: Zip:   When are you moving? Lesss than a month 1 - 3 months 3 - 6 months More than 6 months   Reason for Selling? Want a larger home Want a smaller home job relocation retirement financial reasons other   Preferred Selling Price: Where are you moving?   Bedrooms: Baths: Square Feet:     Best time to contact me Day Evening Weekend   Contact me by Phone Email   Are you working with a Realtor? Yes No   Comments and Questions

∙        Professional           ∙           Trusted             ∙           Knowledgeable           ∙           Dedicated         ∙

Barb Cooper, REALTOR®

direct: (512) 698-6625          ∙         office: (512) 343-7500       ∙        homes@barbcooper.com