First Name: Last name:
Address:
City: State: Zip Code:
Phone: Altern. Phone:
What is the best time to call you?
Morning: Afternoon: Evening: Anytime:

E-mail address:


How long have you been looking for a property? 0-2 months 2-4 months 4-6 months 6-12 months > 12 months

Do you currently: Own Rent
Do you need to sell your home before you buy? Yes No

Is it on the market now? Yes No How long? 0-2 months 2-4 months > 6 months

When are you planning your purchase? < 2 months 2-4 months 4-6 months 6-12 months

Will you be buying for: primary secondary investment Your price's range: $200,000 - $400,000 $400,000 - $600,000 $600,000- $1,000,000 > 1 Million

Are you looking for: Single Family Home Attached Villa Town home/Coach home Low-rise condo 1-3 floors Mid-rise condo 3-7 floors High-rise condo 7 floors + Residential lot

Min. Bedrooms: 1 2 2+den 3 3+den 4 >4 Min. Baths: 1 2 3 4+ Garage: 1 car 2 cars 3 cars

Amenities:

Gated community		Club House		Fitness		Boat access
Golf community		Tennis		Waterfront		Beach front
Senior community		Swimming Pool		Beach access		Pets

Any particular neighborhood or community:

Do you plan to finance? yes no If yes, have you been pre-qualified by a lender? yes no

Comments or add. wishes: