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Full Name*
eMail Address*
Home Phone
Business Phone
Cell Phone
Mailing Address
City
State
Zip Code
Do you have a preferred school district?
Do you currently own or rent? Own  Rent  Other
What is your timeframe for moving?
How many bedrooms do you need? 5 or More
How many bathrooms do you need? 1 1/2  3 or More
Do you require covered parking? Yes  No
If so, what type?
Are you looking for any special features in a home?

If so, please describe what you want.
What price are you considering?
Have you been pre-approved
for a mortgage?
Yes  No
Do you need to sell your home
before you buy?
Yes  No
Any other questions or comments.