First Name Spouse Last Name
Address
City State Zip
Home Phone Work Phone
Cell Phone Voice Mail
Email Address
Please include information on the following topics:
Public Schools Private Schools
Pre-Schools Day Care HeadHunters
Mortgage Companies Insurance Companies
Existing Homes New Homes
Please include profiles of homes in the following areas:
Preferred features in a home:
Type Select 2-story Ranch Tri-level Condominium Other
Style Select Traditional Colonial Contemporary
Age Select New New or Newer (0 - 10 Years) Newer (1 - 10 Years) Older Open to Any Age
Bedrooms Select 2 3 3 + office or 4 4 5
Basement Select Finished Unfinished Finished or Unfinished Prefer No Basement No Preference
Probable time frame Select a frame. Within 1 month Within 3 months Within 6 months Within 9 months Within 1 year After 1 year
Preferred price range Select a range. Below $100,000 $100,000 - $120,000 $120,000 - $160,000 $160 000 - $200,000 $200,000 - $240,000 $240,000 - $280,000 $280,000 - $320,000 $320,000 - $360,000 $360,000 - $400,000 $400,000 - $450,000 $450,000 - $500,000 $500,000 - $600,000 $600,000 - $700,000 $700,000 - $800,000 $800,000 - $900,000 $900,000 - $1,000,000 Over $1,000,000
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