Name(s):

Name(s):

Email:

-Requirements (check all that apply) (number of bedrooms, number of baths, type of property, etc.)

Type of Home you are considering (check all that apply): 

Locations (check all that apply): 

	Do you own your home or are you renting?		click to select -------------------------------------------------------- Own My Home Renting
	How soon would you like to get in your new home?		click to select -------------------------------------------------------- Within 2 Weeks or less Within 1 month Within 2 Months Within 6 Months Within the next year Not sure when
	What is the minimum number of bedrooms that you need?		0-, 1-, 2-, 3-, 4-, 5-, 6 or more-
	How many bathrooms would best serve your needs?		1-, 1½-, 2-, 2½-, 3-, 3½-, 4-, 4½-, 5 or more-
	What size garage would best serve your needs?		click to select -------------------------------------------------------- 1 Car 2 Car 3 Car 4 Car or Larger None
	In terms of square feet, what size home are you seeking?		click to select -------------------------------------------------------- Under 1000 Square Feet 1000 - 1500 Square Feet 1500 - 2000 Square Feet 2000 - 2500 Square Feet 2500 - 3000 Square Feet 3000 or more I have no idea
	Is a finished basement important to you?		Yes No
	Have you been pre approved for a home loan yet?		Yes No
	Are you a first time home buyer?		Yes No
	What price homes are you considering?		$100,000 $125,000 $150,000 $175,000 $200,000 $225,000 $250,000 $275,000 $300,000 $325,000 $350,000 $400,000 $450,000 $500,000 $550,000 $600,000 $650,000 $700,000 $750,000 $800,000 $850,000 $900,000 $1,000,000 $1,500,000 $2,000,000 $2,500,000 $3,000,000 $3,500,000 $4,000,000 $4,500,000 $5,000,000 $6,000,000 $8,000,000  to  $175,000 $200,000 $225,000 $250,000 $275,000 $300,000 $325,000 $350,000 $400,000 $450,000 $500,000 $550,000 $600,000 $650,000 $700,000 $750,000 $800,000 $850,000 $900,000 $1,000,000 $1,500,000 $2,000,000 $2,500,000 $3,000,000 $3,500,000 $4,000,000 $4,500,000 $5,000,000 $6,000,000 $8,000,000 +
	Are there any subdivisons in which you have specific interest?
	Are there any other Wants and Needs?
	When is the best time for you to view homes?

What is your mailing address?
	Address:
	City:
	State:
	ZIP:
	Phone - Home:
	Phone - Work:

 

 

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