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to
Beds
N/A
1
2
3
4
5
6
7
8
8+
Baths
N/A
1
2
3
4
5
6
7
8
8+
Square Feet
feets
Contact information
First Name:
Last Name:
Email:
Additional Email:
Phone:
Alternative number:
Property Details for Home You are Buying
Desired property type:
Single Family Detached
Condominium
Townhouse
Rental
Multi-Family
Vacation Home
Other
of the home you wish to buy.
Target price:
$50,000
$75,000
$100,000
$125,000
$150,000
$175,000
$200,000
$225,000
$250,000
$275,000
$300,000
$350,000
$400,000
$450,000
$500,000
$550,000
$600,000
$650,000
$700,000
$800,000
$900,000
$1,000,000
$1,250,000
$1,500,000
$2,000,000 or more
Desired bedrooms:
0
1
Studio
2
3
4
5
6
7
8
9
Desired bathrooms
0
1
1.5
2
2.5
3
3.5
4
4.5
Cities of interest
Living area (sq.ft)
0 - 500 SQ FT
500 - 750 SQ FT
750 - 1,000 SQ FT
1,000 - 1,250 SQ FT
1,250 - 1,500 SQ FT
1,500 - 1,750 SQ FT
1,750 - 2,000 SQ FT
2,000 - 2,500 SQ FT
2,500 - 3,500 SQ FT
3,500 - 5,000 SQ FT
5,000 - 7,000 SQ FT
7,000 - 10,000 SQ FT
Over 10,000 SQ FT
N/A or None
Don't Know
Do you currently own a home?
No
Yes
What is your reason for purchase?
Need a Bigger Home
Attracted to New Community
Need a Smaller Home
Dissatisfied with Current Community
New Family Members
Vacation Home
Corporate Relocation-New Job
Build Home Equity
Retirement
Tax Write -Off
Divorce/Separation
Investment Property
No Longer Wish to Rent
What is your mortgage status?
I don't know
I have not applied
I am pre-approved
I am pre-qualified
I am pre-approved and pre-qualified
Mortgage Brokers can contact me
When do you expect to buy?
as soon as possible
within next 2 weeks
within 3-4 weeks
within 5-7 weeks
within 2-4 months
within 5-6 months
more than 6 months
When do you expect to choose an agent?
as soon as possible
within next 2 weeks
within 3-4 weeks
within 5-7 weeks
within 2-4 months
in 5 or more months
What are your specific requirements?
Let agents know your needs so they can customize their proposals to you. The more detail you provide, the better the agent response will be.