First
Name:
Last
Name:
E-mail
(I need this to respond to you)
Home
phone:
What
are you interested in?
Buying
Selling
If buying
please fill out the following
boxes:
What
price range?
Price Range
$50,000 and below
$50,000-$100,000
$100,000-$300,000
$300,000-$400,000
$400,000-$500,000
$500,000- &
above
Type
of home:
Single Family Home
Multi Family Home
Duplex
Condominium
Town House
New Construction
Waterfront Property
Rental Property
Vacation Property
Land/Lot
Other
Bedrooms:
One
Two
Three
Four
Five
Six or more
Other
Bathrooms:
One
One and a half
Two
Two and a half
Three
Four or more
Other
Garage:
1 Car Attached
2 Car Attached
3 Car Attached
4+ Car Attached
1 Car Detached
2 Car Detached
3 Car Detached
4+ Car Detached
Carport
Other
Sq.
ft.
Lot
size:
Year
built:
Time
frame for buying and/or selling:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Comments
or questions:
The
information that you've provided on this form is confidential.
Our
goal is to provide you with accurate information, so that
you might be better equipped to make the decisions you're
faced with when buying or selling a home.