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CONTACT FORM

Subject: *
Name *
E-mail Address: *
Home Phone *
Business Phone
Mobile Number
Mailing Address *
City *
State *
Zip Code *
Do you have a preferred school district?
Do you currently own or rent?	Own Rent Other
What is your timeframe for moving?
How many bedrooms do you need?	1 2 3 4 5 or More
How many bathrooms do you need?	1 1 1/2 2 2 1/2 3 or More
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?


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