Samantha Goodman PLLC
Integrity & Experience
Mobile: (602) 526-7486     Fax: (623) 877-5455
Sellers Request Form
Please fill-out the following Sellers Request Form. Based on the input we receive from this form, a list of comparable homes can be prepared for you in a timely fashion. Your response is appreciated and will greatly help in pricing your home.
Input Your Information
* Name
* Email
Address
City
State
Zip
Phone
Fax
Location of Home
Bedrooms
Baths
SQFT
Car Garage
Asking Price
Other Features
Requests, Questions, Comments

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West USA Realty
16150 N Arrowhead Fountain Center Dr. Suite #100 • Peoria, AZ 85382
Mobile: (602) 526-7486 • Fax: (623) 877-5455
Office: (602) 375-3300


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