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By Phone:
(203) 259-1000 Ext. 100
Toll Free:
(800) 728-3867
By Fax:
(203) 259-0514
By Mail:
Re1/Residential Finance Network
1275 Post Road, Suite A1
Fairfield, CT 06824
1. How can we Help?
*
I want to list my home for sale on Re1.com Now
I want to speak to someone before listing
2. How soon do you plan to sell your home?
Immediately
Within the Next 30 Days
Within 2 to 6 Months
More Than 6 Months
3. How did you hear about Re1?
Search Engine
Another Web Site
Billboard
Call from a Loan Officer
E-mail
Newspaper or Magazine Ad
Newspaper or Magazine Article
Post Card or Letter
Radio
Referal from Friend
Television
4. Primary Contact First Name & Middle Initial
*
5. Primary Contact Last Name
*
6. Address of Primary Contact
7. City of Primary Contact
8. State of Primary Contact
9. Zip Code of Primary Contact
10. E-mail of Primary Contact
11. Work Telephone of Primary Contact
12. Home Phone of Primary Contact
13. Cell Phone of Primary Contact
14. Headline for Your Home Listing
15. Listing Price of Your Home
16. Description of Your Home Listing
17. Type of Home
18. Style
19. Fireplace
Yes
No
20. Basement
Yes
No
21. Lot Size
22. Annual Real Estate Taxes
23. Street Address of Home Listing
24. City
25. State
26. Zip Code
27. Year Built
28. Bedrooms
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10+
29. Baths
1
1.5
2
2.5
3
3.5
4
4.5
5+
30. Levels
1
1.5
2
2.5
3
3.5
4
4.5
5+
31. Additional comments or questions
*
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