Area of Preference:

Housing Information:

What is Your Price Range?

$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

What Type of Home Are You Looking For?

Single family Town house Condominium Other

Waterfront?

Select one Yes No Not important

Water-Access?

Select one Yes No Not important

Boat-Slip?

Select one Yes No Not important

Desired Living Space?

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.

Minimum Number of Bedrooms?

One bedroom Two bedrooms Three bedrooms Four bedrooms Five bedrooms

Minimum Number of Bathrooms?

One bathroom Two bathrooms Three bathrooms Four bathrooms

Age of House?

New Construction Under 5 years Under 10 years Under 20 years Historic Does Not Matter

When to Purchase?

Immediately Within 2 months Within 6 months Within 1 year Undecided

Need to Sell Your Present Home?

Yes No

Pre-Qualified by a Lender?

Yes No

Would You Like to Receive More Information on Financing

Yes No

Contact Information:

*Your Name

*Your E-Mail Address

*Your Phone Number

Best Way to Reach You?

Phone E-Mail Fax Mail

Best Time to Contact You?

Morning Afternoon Evening Weekend