Name: 

Street Address: 

City:     State:     Zip: 

Telephone: 

Fax (optional): 

Email: 

Additional Email: Family Member/Work/Secondary
Email to Receive Listings

Household size: 

Number of adults: 

Ages of dependent children: 

Do you presently:  Rent  Own  Other (please describe under remarks)

How soon would you like to be in your new home:  30 days 60 days 90 days More than 90 days

Is the property to be:  Owner Occupied or  Investment Property

Approximate price range you are looking for: 

What cities shall we search in:  

Property type(s):  Single Family Home Townhouse Condo Other (please describe in comments)

Preferred age of home: 

Living Area Square Feet:  < 1000 1000 - 1500 1500 - 2000 2000 - 2500 2500 - 3000 > 3000 Unsure

Number of bedrooms: 

Number of full bathrooms: 

Number of half bathrooms: 

Is a garage a requirement?  Yes    No

If so, what size?   1 car 2 car 3 car 4 car

What style home are you interested in?  1 story 2 story 3 story 1 or 2 story. No Preference.

Please check all rooms that are vital to your property search:  

What size lot do you require:  Up to 5000 sq.feet Up to 10000 sq.feet Up to 20000 sq.feet Over 20000 sq.feet

Is a fenced yard required:  yes no

Additional remarks (please note any additional parameters that you require in your new home
to help us fine tune your search):

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