Ray and Nimi Office: 651-486-5628 Cell: 651-398-6261 Res: 763-795-8979 Fax: 651-483-3681

Fill in the form below and we will contact you with more information about selling your home.

Name:
E-mail:
Address:
City:
State:	Zip:
Home Phone:
Work Phone:

Tell us about your house:

Is this your primary residence?	Yes No
Property Type	Single Family Multiple Family Home Townhouse Condominium Manufactured Home Mobile Home
Style:	Single Story Ranch Style Split Level Other
Finished Sq. Ft:
Year built:
Acreage:
Lot Size:
Garage:
Water:
Sewer:
Basement:	Finished Partly Finished Unfinished None
Number of Bedrooms:
Number of Bathrooms:

Master Bath?	Yes No
Lake Front?	Yes No
If yes, which lake?
Heating Type
Air Conditioning?	Yes No
Pool?	Yes No
Fireplace?	Yes No
Overall Condition	1 Poor 2 3 4 5 6 7 8 9 10 Excellent
Selling Timeframe	Immediately 90 Days 6 Months 1 year More than 1 year
Currently Listed?	Yes - With an agent Yes - For Sale By Owner Not Listed

Inclusions: (Refrigerator, Stove, etc.)


Questions or Comments:

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Ray and Nimi Singhal  (651) 486-5628 direct  Coldwell Banker Burnet 100 Village Center Drive St. Paul, MN 55127 (763) 795-8979 res CRS, ABR, GRI, e-Pro 500, ESA, SRES Platinum Producer (top 1% nationally)