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Request for Service

Fill out and submit the form below. Cartus will send a confirmation email within one business day and a real estate agent will contact you shortly thereafter.

To help us better serve you, please provide some basic information about your real estate needs. This information will only be used by Cartus and the real estate agent / firm assigned to meet your requirements.

* Indicates fields required to submit the form.

Request for Service
Are you looking for a preferred real estate agent to help you:
Buy a home?
    In what City, State?
    Are you currently working with an agent to find a home? Yes   No
    Do you have a price range in mind?
Sell a home?
    In what City, State?
    Is your home currently listed?   Yes   No
Anticipated Job Start Date (mmm dd yyyy):
When are you looking to buy/sell?
Have you bought a home before? Yes   No
Have you sold a home before? Yes   No
Additional Comments:
Please tell us how to reach you.
* Employee Name:
Spouse/Partner Name:
* Employer Name:
* E-Mail Address:
* Phone Number:
Alternate Phone Number:
* Best Time to Contact:
 
*  Address Line 1:
Address Line 2:
*  City:
*  State:
*  Zip Code:
  



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