| Name: |
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| Home Phone #: |
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| Cell Phone#: |
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| Fax #: |
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| Email Address: |
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| Best time to contact you?: |
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| Area Selection (city, zip code, subdivision, etc.): |
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| Your Price Range $: |
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| Lot Size: |
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| Type of Property Desired: |
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| House Square Footage: |
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| # of Bedrooms: |
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| # of Bathrooms: |
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| Desired School Districts: |
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| Age of House Desired: |
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| Garage Car #s: |
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| Pool: |
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| Near Park: |
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| Other Preference (please specify): |
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| When do you need to purchase? |
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Need to sell your present home? |
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Prequalified by lender? |
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Need more information on financing |
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