1.
Area of Preference
2.
Housing
Information
What is Your Price
Range? $100,000 to $150,000
$150,000 to $250,000
$250,000 to $350,000
$350,000 to $500,000
$500,000 to $1,000,000
Over $1,000,000
What Type of Home
Are You Looking For?
Single Family
Townhouse Condominium Other
Desired Living
Space?
1,000 to 2,000 sq. ft. 2,000
to 3,000 sq. ft. 3,000 to
3,500 sq. ft. over 3,500 sq.
ft.
Number of Bedrooms?
Two bedrooms Three
bedrooms Four bedrooms Five
bedrooms
Number of Bathrooms?
Two bathrooms Three bathrooms Four bathrooms
Age of House?
Under 5 years
Under 10 years Older than 10 years New
Construction
When to Purchase?
Immediately Within 2 months Within 6 months Within 1 year Undecided
Need to Sell Your
Present Home? Yes No
Pre-Qualified by a
Lender? Yes No
Would You Like to
Receive More Information on Financing? Yes No
Please Provide Any Extra Comments, or Specifics to
Help Find Your Special Home
3.
Contact
Information
Your
Name *
Your Email
Address *
Your Phone
Number *
Best Way to Reach
You? Phone
E-Mail Fax
Mail
Best Time to
Contact You? Morning
Afternoon Evening
Weekend
4.
Request MLS Mailing List of
Homes
Street Address
City
State
Zip