* = Required Field   *First: *Last:   *Street Address: *City: *State: *Zip:   *Email Address: * Phone #1: - select Morning Afternoon Evening Anytime Phone #2: - select Morning Afternoon Evening Anytime

Have you ever sold a home before?		select Yes No
Home selling time frame:		select Immediately Within 1 month in 1-3 months in 3-6 months in 6 months to 1 year in 1 to 2 years
The home I plan to sell is:		select My principal residence A rental property Other
Will you need assistance with a home purchase?		select Yes No Maybe
If so, in what city/area do you plan to purchase a home?
Will you be moving because of a new job or job transfer?		select Yes No
Will you be receiving cost assistance / relocation benefits from your employer?		select Yes No Maybe N/A
The style of my home is:		select Bi Level Bungalow Cape Cod Colonial Condominium Contemporary Multi Family Quad Level Ranch Split Level Tri Level Other
Number of bedrooms:		select 1 2 3 4 5 6+
Number of baths:		select 1 1.5 2 2.5 3 3.5 4 4.5 5+
Approximate year built:
How long have you owned this home?
Other important features / updates:
Please enter any questions you have about selling a home:
Additional information / comments:
What web site or advertisement directed you to Welcome2KY.com?

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