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Brick & Bloom – Property Information Request

Tell Us About Yourself

Full Name

*

Phone Number

*

Email Address

*

Preferred Contact Method

*

A

Call

B

Text

C

Email

Property Information

Property Address

*

Is this property currently your primary residence?

*

A

Yes

B

No

Are you the owner of the property?

*

A

Yes

B

No

C

One of multiple owners

Property Details

Property Type

*

A

Single Family Home

B

Townhome

C

Condo

D

Duplex

E

Multi-Family

F

Manufactured Home

G

Other

Bedrooms

*

Bathrooms

*

Approximate Square Feet

*

Year Built

*

Garage

*

A

None

B

1 Car

C

2 Car

D

3+ Car

Basement

*

A

None

B

Finished

C

Unfinished

D

Partial

Property Condition

How would you describe the property's overall condition?

*

A

Excellent

B

Good

C

Fair

D

Needs Repairs

E

Major Renovation Needed

Have any of the following occurred?

*

Roof Issues

Foundation Issues

Water Damage

Fire Damage

Mold

HVAC Problems

Plumbing Issues

Electrical Issues

Cosmetic Updates Needed

Vacant Property

Tenant Occupied

Other

Your Situation

Why are you considering selling?

*

Downsizing

Upsizing

Relocating

Divorce

Inherited Property

Landlord Tired of Renting

Behind on Payments

Foreclosure

Repairs Too Expensive

Vacant Home

Investment Property

Other

Timeline

How soon are you hoping to sell?

*

A

ASAP

B

Within 30 Days

C

1–3 Months

D

3–6 Months

E

Just Exploring Options

Pricing

Do you have a price in mind?

*

How much do you currently owe on the property (if any)?

*

Additional Information

Please tell us anything else that would help us understand your situation or property.

*

Photos (Optional)

You may upload photos of front of home, kitchen, bathrooms, living room, backyard, or any areas needing repair.

*

Size limit: 10 MB