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Your Contact Information  (Please complete all fields)   First Name: Last Name: Phone: Daytime Phone: Evening Phone:   Email: Street Address: City: State: Zip Code:     Do you currently own or rent?  Currently Own Currently Rent   Are you pre-qualified?  No Yes   Are you currently working with an Agent?  No Yes   What is your time frame for purchasing?  Now 1 to 3 Months 3 to 6 Months 6 to 9 Months >9 Months   Description of the Home You're Looking For:   Price Range:    Minimum:  $   Maximum:  $ Location/Area: Age of Home:   Don't care New <5 yrs. <10 yrs. <25 yrs. <40 yrs. >40 yrs. Preferred Style of Home: (eg. single family, condo/townhouse, etc.) Minimum # of Bedrooms:   2 3 4 5 More Minimum # of Bathrooms:   1 1.5 2 2.5 3 3.5 4 More Pool:   Don't care Yes No Type of Heating:   Don't care Gas Electric Other Family Room:   Don't care Yes No Finished Basement:   Don't care Yes No Garage:  (minimum # of cars)   Don't care 1 2 3 >3 Approximate Lot Size:   Don't care Standard Oversized 0.5 Acre 1 Acre >1 Acre Type of Property:   Any Distress Sales/Power of Sales/Foreclosures Other details you are looking for: