Your Contact Information:
Your Name
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Your Email Address
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Your Phone Number
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When should I contact you?
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Please call daytime
Please call eveningtime
Please email me
Are you currently working with another
REALTOR ® ?
Yes
No
Dream Home Information :
City
Price range?
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$100,000 to $150,000
$150,000 to $250,000
$250,000 to $350,000
$350,000 to $500,000
$500,000 to $1,000,000
Over $1,000,000
Type of home?
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Single family
Town house
Condominium
Other
Size of home?
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1,000 to 2,000 sq. ft.
2,000 to 3,000 sq. ft.
3,000 to 3,500 sq. ft.
over 3,500 sq. ft.
Bedrooms?
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Two bedrooms
Three bedrooms
Four bedrooms
Five bedrooms
Six + bedrooms
Bathrooms?
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Two bathrooms
Three bathrooms
Four bathrooms
Desired school nearby?
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Elementary
Middle school
High school
Age of house?
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Under 5 years
Under 10 years
Older than 10 years
When to purchase?
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Immediately
Within 2 months
Within 6 months
Within 1 year
Undecided
Need to sell your present home?
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Yes No
Prequalified by a lender?
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Yes No
More information on financing?
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Yes No
Extra Comments:
