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1. Area Selection: City What type of sale are you interested in? Foreclosure Short Sale REO Bank Owned Home Not Sure 2. Housing Information: Price Range? - Select an Option - $0 to $50,000 $50,000 to $100,000 $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 Type of home? - Select an Option - Condominium Other Single family Town house Size of home? - Select an Option - 1,000 to 2,000 sq. ft. 2,000 to 3,000 sq. ft. 3,000 to 3,500 sq. ft. over 3500 sq. ft. Bedrooms? - Select an Option - Two bedrooms Three bedrooms Four bedrooms Five bedrooms Bathrooms? - Select an Option - Two bathrooms Three bathrooms Four bathrooms Desired school nearby? - Select an Option - Elementary High school Middle school Age of house? - Select an Option - Older than 10 years Under 10 years Under 5 years When to purchase? - Select an Option - Immediately Undecided Within 1 year Within 2 months Within 6 months Need to sell your present home? - Select an Option - No Yes Prequalified by lender? - Select an Option - No Yes More information on financing? - Select an Option - No Yes 3. Contact Information: Your name: Your e-mail address: Your phone number: When should I contact you? - Select an Option - Please call daytime Please call eveningtime What would be the best time(s) to reach you? Are you currently working with another Realtor®? No Yes 4. Please mail a personalized MLS list of homes in my Postal Address: State: Zip: Any extra comments, or specifics you would like to add: Enter the code in the field below: Refresh

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