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Bart Jones Real Estate
CONTACT FORM


For your privacy, all information in this secure form is encrypted over the internet.)

To use our services in buying or selling Real Estate, please
fill out PERSONAL and PROPERTY information and then SUBMIT this form.

PERSONAL CONTACT INFORMATION

 Name:

Company:

Address:

Suite, Box, Apt:

City:

State/Province:

    ZIP Code:

Country:

Email Address:

Phone #:

Cell Phone #:

Contact me by:

  Telephone     E-Mail  
(You will be contacted by one of our experienced, licensed, real estate agents within 1 or 2 days)

PROPERTY INFORMATION
(Whatever information you can provide will be very helpful)

Property Type:

Home (House, Condo ...)
Vacant (Lot, Acreage ...)
Commercial (Business, Income ...)

Transaction Type:

Buying       Selling       Investing

Parcel ID:

Property Address:

Lot/Subdivision:

City/County/State:


QUESTIONS OR COMMENTS
 and further information as to the specific property for sale or purchase
such as: BR/Baths, waterfront, oceanfront, pool, type of business, contingencies, date to close ...

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e-mail: Bart Jones
Bart Jones Real Estate
3350 South Atlantic Avenue
Daytona Beach Shores, FL  32118-9999
(386) 763-1118           Alt: 763-1528           Fax: 763-1134