Your property search is outside of our area of our expertise. Our philosophy is that real estate is very local and no one better than someone that resides in the area you are considering can provide you with real life experience information.

Provide us with the following information and we will connect you to a specialist that can provide you with housing and area information specific to your needs that matches your qualifications. There is no fee for this service and should you prefer to speak with us live call us toll free at 1-800-442-8257.

Preliminary Information

Primary Destination:	Region: AndeanBalkan StatesBritish IslesCarribeanCentral AmericaCentral and Eastern EuropeCentral AsiaMedditerraneanNorth AmericaNorthern EuropeOceaniaPatagoniaRivieraScandinaviaSouth AmericaSoutheast Asia/PacificWestern Europe Country: -- Select Country--CanadaMexicoUnited States City: State/Province:
Are you familiar with this area?	-- Select One -- Yes No Somewhat
Would you like an area information packet mailed?	-- Select One -- Yes No, Not Necessary
Time Frame of your move:	-- Select One -- Within 3 months 3 - 6 months 6 - 9 months 1 or more years
Home Finding trip date (if known):
Reason for purchase?	-- Select One -- First Time Homeowner Smaller Home Larger Home Employment (Co. Sponsored) Employment (Not Co. Sponsored) Retirement Vacation Home 1031 Exchange Investment Divorce/Separation
Name of Company:
Mortgage Pre Approval?	-- Select One -- Yes No Not Applicable

Housing Requirements

Property Type:	All Residential Property Land Only Investment / Multi Unit Commercial Adult Community
Price Range:	No Minimum $100,000 $125,000 $150,000 $200,000 $250,000 $300,000 $350,000 $400,000 $450,000 $500,000 $550,000 $600,000 $650,000 $700,000 $750,000 $800,000 $850,000 $900,000 $950,000 $1,000,000 $2,000,000 $3,000,000 to No Maximum $100,000 $125,000 $150,000 $200,000 $250,000 $300,000 $350,000 $400,000 $450,000 $500,000 $550,000 $600,000 $650,000 $700,000 $750,000 $800,000 $850,000 $900,000 $950,000 $1,000,000 $2,000,000 $3,000,000 $3,000,000+
Levels :	Any 1 Story 2 Story (Multilevel)
Bedrooms:	Any 1 or more 2 or more 3 or more 4 or more 5 or more
Baths:	Any 1 or more 2 or more 3 or more 4 or more 5 or more
Property Age:	No Minimum 5 10 15 20 30 40 50 75 100 to No Maximum 5 10 15 20 30 40 50 75 100 100+ OR New
Lot Size (acres):	No Minimum 0.10 0.25 0.50 0.75 1.00 3.00 5.00 10.0 20.0 to No Maximum 0.10 0.25 0.50 0.75 1.00 3.00 5.00 10.0 20.0 or more
Amenities:

Household Characteristics:

How many in your family? -- Select One -- Myself Two More Than Two


The hobbies, special interests, concerns of myself and/or my family include: (Check all that apply.)

Institutions Church colleges/universities elementary school middle school highschool synagogues technical schools temples	The Arts ballet/dance museums music painting sculpting theater	Outdoor Activities bird watching/wildlife boating fishing flying gardening hiking horseback riding hunting
Club/Community or Sports Teams baseball/softball basketball boxing football/rugby golf gymnastics hockey (ice/field) lacrosse skating (ice/roller) skiing soccer tennis/racquetball volleyball	Health & Wellness aerobics biking hiking martial arts pilates/yoga running swimming walking weight lifting	Miscellaneous antique/flea market computers cooking/baking crafts cars decorating electives grandchildren movies photography reading rennovations quilting/sewing travel wine tasting writing

Real Estate Agent Profile
We understand that working with an agent who knows the community and housing market is critical. Additionally, please rate the following areas of importance regarding a real estate agent:

	Least Important       Most Important
	N/A	1	2	3	4	5
Languages Spoken
Negotiating Skills
Number of Houses Agent Sold
Professional Designations Held
The Company Your Agent Works For
Years of Experience

Include any comment / concerns you feel are important in selecting an agent:

CONTACT FIELD

Your Information:
Name:
Best Method of Contact:	-- Select One -- Home Phone Cell Phone Work Phone Email
Home Phone:
Cell Phone:
Work Phone:
Email Address:
Mailing Address:
City, State Zip	,
Contact #2: Is there anyone else you would like to have this information
Name:
Best Method of Contact:	-- Select One -- Home Phone Cell Phone Work Phone Email
Home Phone:
Cell Phone:
Work Phone:
Email Address:
Mailing Address:
City, State Zip	,
Comments or Questions?

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