First Name:*    Last Name:*

Address:*
  Street:
  City:   State:   AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MS MO MT NE NH NJ NM NV NY NC ND OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY   Zip:

Email Address:*

Phone Number(s):*
  Home:    Work:     Fax:    

Best Time(s) to Contact You:*Morning  Afternoon  Evening

Best Method(s) of Contact:*Email  Phone  Fax

Moving or Relocating to:*
  City:   State:   AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MS MO MT NE NH NJ NM NV NY NC ND OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY   Zip:

Estimated Time Until Purchase:*   Within 1 Month 1-3 Months 3-6 Months 6-9 Months 9-12 Months 1 Year or More

* Required Property Information

Type(s) of Property:*

Single Family	Townhouse	Condominium	Villa
Multi Family	Commercial	Lots and Land

Age of Home:*

Build	0 to 5 Years
5 to 10 Years	10 to 15 Years
15 to 20 Years	20 Years or more
Any Age

Style of Home:*

One Story	Two Story	Three Story
Duplex	Four Units	Home & Income

Use of Property:*   Owner Occupied Retirement Vacation Rental

	Minimum	Maximum
Price *	$80,000 $100,000 $125,000 $150,000 $175,000 $200,000 $225,000 $250,000 $275,000 $300,000 $325,000 $350,000 $375,000 $400,000 $450,000 $500,000 $550,000 $600,000 $650,000 $700,000 $750,000 $800,000 $850,000 $900,000 $1,000,000 $1,250,000 $1,500,000 $1,750,000 $2,000,000 $2,500,000 $3,000,000 $3,500,000 $4,000,000 $4,500,000 $5,000,000 $6,000,000 $8,000,000 $10,000,000	$100,000 $125,000 $150,000 $175,000 $200,000 $225,000 $250,000 $275,000 $300,000 $325,000 $350,000 $375,000 $400,000 $450,000 $500,000 $550,000 $600,000 $650,000 $700,000 $750,000 $800,000 $850,000 $900,000 $1,000,000 $1,250,000 $1,500,000 $1,750,000 $2,000,000 $2,500,000 $3,000,000 $3,500,000 $4,000,000 $4,500,000 $5,000,000 $6,000,000 $8,000,000 No Maximum
Sq Ft Heated *	600 800 1,000 1,250 1,500 1,750 2,000 2,250 2,500 2,750 3,000 3,500 4,000 5,000 6,000 7,000 8,000 9,000 10,000	800 1,000 1,250 1,500 1,750 2,000 2,250 2,500 2,750 3,000 3,500 4,000 5,000 6,000 7,000 8,000 9,000 No Maximum

Bedrooms:*

1	2	3	4 or more
1 to 2	2 to 3	3 to 4

Full Baths:*

1	2	3	4 or more
1 to 2	2 to 3	3 to 4

Half Baths:*

1

2

3 or more

Parking:*

Garage	Other
1 Car Only	RV Parking
1 to 2 Car	Assigned Parking
2 Car Only	Secured Parking
2 to 3 Car	Guest Parking
3 Car Only	Street Parking
3 or more	Carport(s)
Attached
Detached

Acreage: (Check only those applicable)

Up to 1/4 Acre	1/4 to 1/2 Acre	1/2 to 1 Acre
1 to 2 Acres	2 to 5 Acres	5 to 10 Acres
10 to 20 Acres	20+ Acres

Location: (Check only those applicable)

Conservation Area	In City Limits
Corner Lot or Unit	In County
Cul-De-Sac	Paved Street
Gated Community	Private Street
Golf Course Frontage	Unpaved Street
	Sidewalk

Property Features: (Check only those applicable)

Basement	First Floor Full Bath
Central Air	First Floor Bedroom
Den or Office	Forced Air
Disability Features	Hardwood Floors
Family Room	Laundry Room
Fireplace	Spa / Hot Tub
Formal Dining Room	Pool

Community Features: (Check only those applicable)

Non-Not Applicable	Community Pool
Boat Slip	Racquet Ball
Dock	Recreation Building
Deed Restrictions	Runway
Fitness Center	Security
Gated Community	Storage
Golf Course	Tennis Courts
Handicapped Modified	Water Access
Horse Stable	Waterfront
Laundry Facility	Water View

Community Rules: (Check only those applicable)

Retirement Community 55+	Retirement Community 62+
Pets Allowed	No Pets Allowed
Required Association	No Association
Association Approval Required	Association Approval Not Required

Comments: