Frankie Wink 251-344-5925 Office Frankie@WinkHomeFinder.com 251-445-1200 Cell

Fields marked with (*) are still required; however, we will be able to provide you
with a more accurate evaluation if all fields are filled out.
Upon completing the form you will receive a confirmation email to verify your email address.

We want you to know that you can share all the information requested, as we respect your privacy and would never release confidential data without your permission. Please complete the entire questionnaire so we can start helping you immediately!

First Name:*	Last Name:*
Home Address:* Address where you physically live
City:*
State*, Zip:*
Address to Be Evaluated: Address for the property to be evaluated. Only enter information if different than the home address
City:
State, Zip:
Home Phone:*	Work Phone:
E-Mail:*
Purchase Price:
Year Purchased:
Property Owner?:	Yes No
Property Type:*	Single Family Residence Condo Townhouse Multi-Family
Year Built:
Name of Subdivision:
Bedrooms:*
Full Baths:*	Half Baths:
Square Feet:* (heated & cooled space only)
Lot Size:*	Less Than 1/2 Acre 1/2 - 2 Acres Over 2 but under 5 Acres Over 5 Acres
Waterfront:*	None Bay Bayou   Beach   Block/Seawall Boat Dock   Boat Launch  Boat House Canal   Gulf   Intercoastal Waterway Lagoon  Lake  Natural Pier  River   Sawgrass Sound
Cooling Type:	Central Air Window Unit None
Pool?	Yes No
Screened?	Yes No
Parking:*	Garage Carport Not Covered
# of Spaces:*	1 2 3 More than 3
Condition:*	Poor 1 2 3 4 5  Excellent
Comments:
Plans for Home*	SellingJust CuriousPlace home in rental market Refinance -  If so, would you like us to send your information to a lender we trust? Yes
Leaving the Area?	Yes No
Home listed with*	Not Listed For Sale By Owner Listed with Agent
Where did you hear about MobileAlHomeValue.com?*	Mobile Register Newspaper TV Radio Billboard Postcard Internet Other
You will be re-directed to your Agent's page upon submitting.

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