Please provide the following contact information:

How do you prefer we contact you:

Home Phone
Work Phone

When is the best time to contact you:

Morning
Afternoon
Evening

Are there children in the family?

No children 1 child 2 children 3 children 4 or more children

What school options are important?

Grades K-6 Grades 7-9 Grades 10-12 College, University, or other School

When are you planning to buy?

As soon as possible 1 to 3 months 3 to 6 months 6 to 12 months When present home is sold Undecided

Is this a work related move?

Company Relocation New Job Considering moving and need more information

Have you Qualified or Pre-Qualified for a mortgage?

Pre-Qualified Qualified (laon is fully approved) Have not applied for a mortgage yet

Price range?

75,000 to $100,000 1000.000 to 125,000 $125,000 to $150,000 $150,000 to $200,000 $200,000 to $250,000 $250,000 to $300,000 $300,000 to $350,000 $350,000 to $400,000

How many Bedrooms?

2 Bedrooms
3 Bedrooms
4 or more Bedrooms

How many bathrooms Select any that apply:

1 Bathroom
2 Bathrooms
3 or more Bathrooms

Any other preferences? Select any that apply:

Single Family Home
Duplex
Condo/Townhouse
Wheelchair Accessible

Comments: