1.  Location You Looking For:

2. Price Range:          choose one up to $100,000 $100,000 to $150,000 $150,000 to $200,000 $200,000 to $250,000 $250,000 to $300,000 $300,000 to $400,000 $400,000 to $500,000 $500,000 to $750,000 $750,000 to $1,000,000 $1,000,000 and up

3. Type of Property: Townhouse Detached Condominium Farm Vacant Land choose one

4. Style of Property:      First Choice                    Second Choice
                              Bungalow Raise Bungalow Two Story Backsplit Multi-level choose one             Bungalow Raise Bungalow Two Story Backsplit Multi-level choose one

5. Garage:     Single Double Triple Other None

6. Bedrooms:   One Two Three Four Five Other

7. Bathrooms: Full choose one 1 2 3 4 Half choose one 1 2 3 4

8. Other Rooms: (are there other rooms that are a MUST…i.e. main floor laundry, 
den, family room, etc.?)
Comments:    

9. Heat Type: choose one Central Heat Heat Pump Radiant Other

10. Central Air Conditioning?  A Must Have A Want  No No!!

11. Pool: A Must Have A Want  No No!!
If a MUST Above Ground In ground Indoor Outdoor

12. Approximate Square Footage of Home: choose one 700-1100 1100-1500 1500-2000 2000-2500 2500-3000 3000-3500 3500-5000 5000+

13. Do You Have Any Other Special Needs or Wants?
Tell Me About Them: 

A few last questions…

Are you currently working with another Real Estate Representative?* Yes No

When do you want to move? 

Do you have a home to sell?   Yes No

Do you want a free market evaluation on your current property?   Yes No

Contact Information

PLEASE NOTE: IF YOU DO NOT PUT IN YOUR CONTACT INFORMATION (CORRECT E-MAIL ADDRESS, PHONE, ETC.) I HAVE NO WAY OF GETTING IN TOUCH WITH YOU AND PROVIDING YOU WITH THE LISTING. PLEASE DOUBLE CHECK THAT YOU HAVE PROVIDED ME WITH ALL THE INFORMATION THAT I NEED!

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