Haynes C. Bernstein
4989 Peachtree Parkway Suite 1 | Norcross, GA 30092
Phone: 770.325.1850 | Toll Free: 1.800.532.2100 | Fax: 770.368.2651
Cell: 404.519.1032 | email: haynesbernstein@comcast.net

Home Value Analysis

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Contact Information
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First Name:		Last Name:
Address:		Phone Number:
City:		Email:
State/Zip:
PROPERTY INFORMATION
Resident Status:		# of Bedrooms:
Relationship:		# of Bathrooms:
Type of Property:		Basement:
Overall Condition:		Garage:
Lot Size / Acreage:		Listing Status:
Approx. Square Footage:		Planning to Sell:
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