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Fill out the form below for a market analysis Name: Phone Number: Best Time To Reply: Required Field - E-Mail: Property Information Property Address: City: State / Zip: / Year Built Property Type: Condo Fee (if applicable): Lot Size: acres Gross Living Area: sq. ft. # Bedrooms / # Bathrooms: 1 2 3 4 5 6 7 8 9 10 or more / 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 or more Total Number of Rooms: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 or more Other Amenities: Comments / Questions: Please type the characters you see in the image.

Prudential Prime Properties 442 King St • Littleton, MA 01460 Direct: 978-486-8926 • Phone: 978-486-8926  Fax: 978-486-0219  SField@pruprimelittleton.com