Request for a Real Estate Agent
Please tell us who you are and how to reach you so we can provide you with the information you're asking for.
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First Name
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Your answer
Last Name
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Your answer
Email Address
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Phone Number (with Area Code)
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Your answer
Street Address
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Your answer
Town / City
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Your answer
County
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State
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Your answer
Zip Code
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Do you need to sell your current home to buy your next home?
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Choose
Yes
No
Have you been pre-approved for a mortgage?
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Yes
No
What price range will you be looking in for your next home?
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Please indicate a price range (i.e., 350,000 to 400,000)
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What type of home are your looking for?
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Check all that apply
Single Family Home
Duplex
Townhome
Condominium
Multi-Family Home
Farm
Other:
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How many bedrooms are you looking for in your next home?
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Choose
1 - 2
2 - 3
3 - 4
4 - 5
5 or more
What amenities are you looking for in your next home?
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1 Story Home
2 Story Home
Garage
Basement
Fireplace
Home Office
Pool
Large Yard
Waterfront
Must Have a View
Other:
Comments
Add any additional comments you may have about what you're looking for in a home
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