Type of
Transaction:
Buy
Sell
Sell+Buy
Exchange
Rent/Lease
Other
Type of
Property:
(You may
select more than one)
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Single Family
Townhouse
Condominium
Multi-Family Unit
Farm
Land-Residential
Land-Commercial
Office
Retail
Warehouse
Industrial-Light
Industrial-Heavy
Other
Your Name:
Your Email Address:
Your Street Address:
Your City:
Your State/Province:
Your Zip:
Country:
Day Phone:
Evening Phone:
Other Phone:
Fax:
Do you own your current property or are you renting?
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Own My Property
Renting
Current Property
- Address:
(If different from above)
When Do You Hope to Be Completed?
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Within 1 week
2 Weeks or less
Within 1 month
1-2 Months
2-6 Months
Within the next year
Not sure when
Do You
Also Plan to Move Into Property?
Yes
No
How Long Have You Been
Looking?
click to select
Just Started
Within 1 week
2 Weeks or less
Within 1 month
1-2 Months
2-6 Months
Within the next year
Not sure when
Are You Currently Working With An Agent?
Yes
No
Where Would You Like To
Live (Areas/Townships)?
What Is Your Price
Range?
How Many Square Feet?
How Much
Acreage?
If looking for residential property, what style home do you like?
click to select
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Ranch (1 Story)
Cape Cod (1 1/2 Story)
2 Story
Bi Level
Raised Ranch
Split Level
Earth Home
Condo
Duplex
Mobile Home
Double Wide
Modular or Manufactured
Any Style Home
Other
What is the minimum number of bedrooms that you need?
click to select
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1 Bedroom
2 Bedrooms
3 Bedrooms
4 Bedrooms
5 bedrooms
6 or more bedrooms
What is the minimum number of baths?
click to select
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1 Bath
1 1/2 Baths
1 Full Bath
2 Baths
2 1/2 Baths
3 Baths
3 1/2 Baths
4 Baths
4 1/2 Baths
5 or more Baths
Do you need a garage?
click to select
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1 Car
1 1/2 Car
2 Car
2 1/2 Car
3 Car
3 1/2 Car
4 Car or Larger
None
Have You Been Preapproved for a Property Loan Yet?
Yes
No
Do you need a finished basement?
Yes
No
How Many People Will Be Living at/Using Property?
How Much Acreage?
Describe Your Desired
Property:
Other Requirements That Are Important To you:
Comments, Questions or Concerns:
List
Any Special Needs Requirements:
When is/are the best time(s) for you to view properties?
How Do You Want Me To
Contact You?
Best Times to Contact
You?