Name: 

Address:       City, State, Zip: 

Phone Number:      E-Mail Address:

Please tell us a little about what kind of home you are looking for.  This will help us to start narrowing down homes to the homes that fit your needs.

Price range:  $0-40,000 $40,000-$50,000 $50,000-$60,000 $60,000-$70,000 $70,000-$80,000 $80,000-$90,000 $90,000-$100,000 $100,000-$125,000 $125,000-$150,000 $150,000-$175,000 $175,000-$200,000 $200,000 +     Square Footage:     0-1000 1000 - 1100 1100 - 1200 1200 - 1300 1300 - 1400 1400 - 1500 1500 - 1600 1600 - 1700 1700 - 1800 1800 - 1900 1900 - 2000 2000 - 2200 2200 - 2400 2400 - 2600 2600 - 2800 2800 - 3000 3000 - 3500 3500 - 4000 4000+        Style:  Ranch Townhouse Duplex Condo Two Story Contemporary Tri-level Manufactured

Bedrooms:    1 2 3 4 5 6+     Bathrooms:  1 1.5 2 2.5 3 3.5 4+        Fireplace:  NO YES         Fence:  NO YES Other    

Floors:  Carpet Hardwood Vinyl Tile Other     Garage:  None 1 Car 2 Car 3+ Car Carport     Deck/Patio:   NO YES Other         Lot:   Normal Large Small Cul-de-sac Corner Lot Other    

  Dining:  Formal Eat-in-kitchen Living/Dining Combo     Living Room:  Formal Great Room Den             Bonus Room:  NO YES Other  

Neighborhood:  

School District: 

Remarks:

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