Name

Full Mailing Address

Email Address (required)

Phone Number

I am interested in the price range of
under $60,000 $60,000-80,000 $80,000-100,000 $100,000-120,000 $120,000-140,000 $140,000-160,000 $160,000-200,000 over $200,000

I prefer a home that is
new 1-5 years old 1-10 years old 1-20 years old over 20 years old Does not matter

I would like to live in the city(s) of

My minimum parking requirements are
1 car garage 2 car garage 3 car garage carport parking is not important

I would like the lot size to be
1/4 acre or less 1/4 to 1/2 acre 1/2 acre to 1 acre 1 acre to 5 acres 6 acres to 10 acres 10 acres or more

Family size (all who will occupy this home)

Number of bedrooms I would like are
2 3 4 5 or more

Number of bathrooms I would like
1 - 1 1/2 2 - 2 1/2 3 or more

I need to be in my "new" home in
ASAP 1 to 3 months 3 to 6 months 6 months +

I have a home to sell before I can move.
Yes No

If you have a home to sell, would you like information on an experienced Real Estate Professional in your area?
Yes No

I have talked with a lender.
Yes, I am pre-qualified for $
No

Thank you for your response.

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