Relocal Move Seller Application First Name*Last Name*Cell Phone*Email*Street*City*State*Zip Code*What's Your Home Worth?* -None- <$100,000 $100,000 - $200,000 $200,000 - $300,000 $300,000 - $400,000 $400,000 - $500,000 $500,000 - $650,000 $650,000 - $800,000 $800,000 - $1M >$1M Are you already working with a Realtor?* -None- Yes No What is your ideal time frame for this move?* -None- I'm Ready Now 1-3 Months From Now 4-6 Months From Now Preferred Contact Method* -None- Phone Email Additional Comments Lead Source -None- Web Advertise Print Advertise Employee Referral Memeber Referral Are you Buying or Selling? -None- Buying Selling WebFormSourceRM -None- RelocalMove None Referral Source -None- HPSO NSO Relocal Move By checking this box you agree to allow Relocal Move to refer you to a real estate brokerage for the purchase and/or sale of real estate.