Buyer Information Survey Please complete the following information. This will help us find the home you are looking for. 1. Preferred Location(s): Preferred Location(s):   Optional Preferred School District: 2. Housing Information: Price Range: ***Select One*** Under $100,000 $100,000-$150,000 $150,000-$200,000 $200,000-$250,000 $250,000-$300,000 $300,000-$350,000 $350,000+ Age of House: ***Optional*** New Under 5 yrs Under 10 yrs Older than 10 yrs Type of Home: ***Select One*** Single Family Multi Family Condominium Other When to Purchase: ***Select One*** Immediately Within 2 Months Within 6 Months Within 1 Year Undecided Size of Home: ***Select One*** Under 1000 sq. ft. 1000-1500 sq. ft. 1500-2000 sq. ft. 2000-2500 sq. ft. 2500-3000 sq. ft. Over 3000 sq. ft. Need to sell your present home? Yes No Number of Bedrooms: ***Select One*** 1 2 3 4 5 6 Prequalified by a lender? Yes No Number of Bathrooms: ***Select One*** 1 2 3 4 5 6 More information on financing? Yes No Desired School Nearby: ***Optional*** Elementary Middle School High School Select all of the features that you'd like to have in your new home: Family Room Pool Full Basement Den Spa Finished Basement Formal Dining Room Deck Central A/C Fireplace Lakefront Wall Unit A/C Porch Acreage Close to schools Additional Comments: 3. Contact Information: *** Marked Fields are Required *** First Name: *** Last Name: Address: City: State: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip: *** Email Address: *** Phone Number: Best time to contact you:

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