Online Buying Information Form

Fields marked with an "*" are required, all the remaining blanks are optional.
Name*:
Address:
City, State, Zip:
Phone:
Work Phone:
Fax:
Email Address*:
Best Time to Reach You:
What Areas/Cities are You Interested In?
Property Type:	Any Residential Investment Land
Purchase Time Frame:	- Select Time Frame - Immediate Less Than 60 Days 90-180 Days
Price:	- Select Price Range - $100,000 to $150,000 $150,000 to $200,000 $200,000 to $250,000 $250,000 to $300,000 $300,000 to $400,000 $400,000 to $500,000 $500,000 to $600,000 $600,000 to $700,000 $700,000 to $800,000 $800,000 to $900,000 $1,000,000 +
Year Built Range:
Home Style:	Any Ranch Split Level 3-4 Level 1.5-2 Story
Bedrooms:	??? 1 2 3 4 5+
Bathrooms:	??? 1 2 3 4 5+
Formal Dining Required?	No Yes
Neighborhood:
View:	Standard Golf Water City
Finished Square Feet:
Minimum # Car Garage:
Additional Comments, Questions, Or Requirements:
Will you be selling a home?	??? Yes No Undecided

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	Online Buying Information Form