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--- YOUR CONTACT INFORMATION ---

Name

Phone

Address

Apt, suite, etc.

Country

City

State

Zip code

--- DETAILS OF YOUR PLANNED PURCHASE / MOVE ---

What Localities, Cities, or Communities are you interested in moving to?

Approximate Move Date

Do you currently own a home?

Yes

If yes, what do you own?

What do you plan to buy?

What is your price range?

What is your current household income?

Have you been pre-approved by a mortgage lender?

Yes

--- YOUR SEARCH CRITERIA ---

Year Built

Square Feet

Stories

Garage

Minimum Bedrooms

Minimum Baths

Other Requests

Would you like to receive a Relocation Package?

Yes

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