Contact Information

All information provided will be used only for the purpose of helping to 

find your "Dream" home.
               Please take the time to fill out this form in it's entirety.
Name  
Address  
City  
State  
Zip Code  
Daytime Phone  
Evening Phone  
Fax Number  
E-Mail Address  
Best Way to Contact  
Best Time to Contact  
     
Property Information
 
Target Price Range  
Property Type Desired  
Time Frame to Buy  
Minimum Sqr. Footage  
Number of Bedrooms  
Number of Bathrooms  
Desired Lot Size  
     
Desired Communities  
     
Features Desired    Family Room Formal Dining Rm
    Den/Study Maid's Room
    Laundry Rm Fireplace(s) 
    Pool  Views 
    Full Basement Attic 
    Guest House Paved Driveway
       
Please list any other
desired features:		  
     
Do you currently have an agent? Yes  No 
Have you been pre-qualified for a mortgage? Yes  No 
Do you want assistance in finding a mortgage? Yes  No 
Do you have a home to sell? Yes No 
     
 


 
 

 
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