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Contact Me Sharon Kubasak Prudential Partners 8951 W 151st Street Orland Park, IL 60462 Direct Line: 708-269-0490 E-Mail Me sharon @prulifestyle.com	Name Title Organization Street Address Address (cont.) City State/Province Zip/Postal Code Country Work Phone Home Phone FAX E-mail Choose one of the following options: Enter Square Footage Enter Number of Bedrooms Enter Number of Bathrooms Please provide the following Property Information Street Address Address (cont.) City State/Province Zip/Postal Code Country Select any of the following options that apply: Family room Den Formal dining room Laundry room Fireplace Pool Spa Guest house Storage Cellar/Basement 2 story Enter Garage Type: Attached 1 car Attached 2 car Attached 3+ car Detached 1 car Detached 2 car Detached 3+ car Carport None Enter Heat Type: Central Wall unit(s) None Other Enter Air Conditioning Type: Central Wall unit(s) None Other Please Enter any Additional Features: When would you like to sell? Immediately Within 2 months Within 6 months Within 1 year Undecided Are you interested in help finding a new property? Yes No Maybe Comments?