* First Name   * Last Name

* Email   * Phone   * Best time to call Please Choose One Mornings Evenings Weekends

* Area you wish to move to

*Minimum bedrooms Please Choose One 1 2 3 4 5 6+

* Minimum full baths Please Choose One 1 2 3 4+   Minimum half baths Please Choose One Doesn't Matter None 1 2 3

Garage size Please Choose One No garage needed 1 car garage needed 2 car garage needed 3 car garage needed   Garage type Please Choose One No garage needed Doesn't matter Attached garage needed Detatched garage needed

Basement needed? No  Yes  Not sure

Pool needed? No  Yes  Not sure

On golf course? No   Yes   Not sure

Waterfront Please Choose One None Lake frontage River frontage Lake or river access

Acreage Please Choose One None 1 acre 1-5 acres 5-10 acres More than 10 acres

* Minimum square footage

Maximum age of home years

* List price to

Desired home style(s) (check all that apply)

Cape Cod    Chalet     Condo/Townhouse    Cottage    Farmhouse    Log Home    Ranch    Victorian   

Are you currently working with an agent? Yes  No

Are you pre-qualified for financing? Yes  No

When will you be moving? Please Choose One 0-3 months 4-6 months 7-12 months More than 12 months

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