| Your Name: * | |
| E-mail Address: * | |
| Home Phone: * | |
| Business Phone: | |
| Mobile Number: | |
| Street Address: | |
| City: | |
| State: | |
| Zip Code: | |
| Do you have a preferred school district? | |
| Do you currently own or rent? |
Own
Rent
Other |
| What is your time frame for moving? | |
| How many bedrooms do you need? |
1
2
3
4
5+ |
| How many bathrooms do you need? |
1
1 1/2
2
2 1/2
3 |
| Do you require covered parking? |
Yes
No |
| If so, what type? | |
| Are you looking for any special features in a new home? | |
| What price are you considering? | |
| Have you been approved for a mortgage? |
Yes
No |
| Do you need to sell a home before you buy? |
Yes
No |
| Any other comments regarding your home search? | |
|
| |
| * Required | |
