Home Buyer Request Form

Full Name*

Email Address*

Contact Phone*

Are you working with a Realtor?* Are you working with a Realtor?*NoYes

Best Time to Call? Best Time to Call?All DayMorningAfternoonEvening

Preferred Area

Price Range From: Price Range From:$200K to $300KFrom $300K to $400KFrom $400K to $500KFrom $500K to $600KFrom $600K to $700KFrom $800K to $900KFrom $900K to $1 mil$1 mil to 1.5 mil$1.5 mil to $2 mil$2.5 mil to $3 milMore than $3 mil

Price Range To: Price Range To:Choose One$200K$300K$400K$500K$600K$700K$800K$900K$1 mil & more

Property Type Property TypeDetached HomeSemi-DetachedMulti-familyTownhomeTownhomeApartmentVacant LandCommercialCommercialOther

No of Bedrooms No of BedroomsChoose One1 Bed2 Bed3 Bed4 Bed5 Bed6 Bed or More

No of Bathrooms: No of Bathrooms:Choose One1 Bath2 Bath3 Bath4 Bath5 Bath or More

When are you Looking to Buy? When are you Looking to Buy?NowWithin 2 months2 to 4 months4 to 6 monthsOver 6 months

Need to sell your present home? Need to sell your present home? Yes No

Are you pre-approved by a lender? Are you pre-approved by a lender? Yes No

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