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Gallagher Real Estate
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YOUR HOME VALUE FORM WINNIPEG
Your Email:
Your Name:
Your Telephone:
Address:
City:
Are you currently working with an agent?:
Yes
No
Bedrooms:
1
2
3
4
5
5+
Bathrooms:
1
2
3
4
5
5+
Size:
500 sq. ft.
600 sq. ft.
700 sq. ft.
800 sq. ft.
900 sq. ft.
1000 sq. ft.
1100 sq. ft.
1200 sq. ft.
1300 sq. ft.
1400 sq. ft.
1500 sq. ft.
1600 sq. ft.
1700 sq. ft.
1800 sq. ft.
1900 sq. ft.
2000 sq. ft.
2100 sq. ft.
2200 sq. ft.
2300 sq. ft.
2400 sq. ft.
2500 sq. ft.
2600 sq. ft.
2700 sq. ft.
2800 sq. ft.
2900 sq. ft.
3000 sq. ft.
3100 sq. ft.
3200 sq. ft.
3300 sq. ft.
3400 sq. ft.
3500 sq. ft.
3600 sq. ft.
3700 sq. ft.
3800 sq. ft.
3900 sq. ft.
4000+ sq. ft.
Age:
0 years old
1 year old
2 years old
3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
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63 years old
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109 years old
110 years old
111 years old
112 years old
113 years old
114 years old
115 years old
116 years old
117 years old
118 years old
119 years old
120+ years old
Comments:
When are you planning to move?:
right away
0-6 months
more than 6 months
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