FREE RESIDENCE QUOTE

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Estimated move date: Jan Feb March Apr May June July Aug Sep Oct Nov Dec 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 27 28 29 30 31 2007 2008 2009 2010 2011 Moving From:     Moving To: Address: Address: City : City : State: State: Zip: Zip: Size of residence: House Apartment # of Bedrooms # of Rooms # of Flights Total Square Ft. Size of residence: House Apartment # of Bedrooms # of Rooms # of Flights Total Square Ft. Will Temporary Storage be needed? Yes No

Living Room Quantity Arm Chair Sofa Love Seat Rocking Chair Lamp Piano - Upright Piano - Baby Grand Stereo Coffee Table End Table TV - Portable TV - Big Screen Stand Futon Ent. Center Ottoman     Office Quantity Desk Credenza File Cabinet Book Case Work Table Computer Exercise Equipment Safe     Boxes Quantity Small (1.5) Medium (3.0) Large (4.5) Wardrobe Picture     Outdoor Quantity Picnic Table Bench Table Chair Barbecue Large Plant Settee/Glider       Dining Room Quantity China Cabinet Buffet Chair Table Tea Cart Hutch     Kitchen Quantity Refrigerator Freezer Dryer Washer Table Chair Cabinet Vacuum Microwave     Bedroom Quantity Single Bed Double Bed Queen Bed King Bed Bureau Chest Dresser Night Stand Armoire Mirror Suit Case     Garage Quantity Bicycle Work Bench Lg Power Tools Lawn Equipment Lawn Hand Tool Lg Tool Chest Sm Tool Chest Garbage Can Cabinet Shelf Unit     Comments