Name:

Phone Number: (including area code)

Fax Number: (including area code)

What is the mailing address of the home you want to sell:

E-mail:

What price range are you considering?

What school district do :

Do you own your home or are you renting?
OwnRent

How many family members will be living in your new home?

How soon do you wish to move into your new home?

What style of home are you looking for?
Ranch (1 Story)Cape Cod (1 1/2 Story)2 StoryBi LevelRaised RanchSplit LevelEarth HomeCondoDuplexMobile HomeDouble WideModular or ManufacturedAny Style Home-I'm Open MindedOther

How many bedrooms will you require?
1 Bedroom2 Bedrooms3 Bedrooms4 Bedrooms5 bedrooms6 or more bedrooms

How many baths?
1 Bath1 1/2 Baths1 Full Bath2 Baths2 1/2 Baths3 Baths3 1/2 Baths4 Baths4 1/2 Baths5 or more Baths

What type of garage would you like?
1 Car1 1/2 Car2 Car2 1/2 Car3 Car3 1/2 Car4 Car or LargerPole Barn/GarageAttached GarageDetached GarageCombinationOtherNone

Are there any special needs or amenities you require:

What type of heating system do you want?
Natural Gas FurnacePropane Gas FurnaceGas Hot Water BoilerElectric Hot Water BoilerElectric FurnaceElectric BaseboardElectric Heat PumpElectric Radiant Heat (in the ceiling)Fuel Oil FurnaceWood Furnace AddonWood Stove (free standing)Wood Stove (fireplace insert)FireplaceGeothermalOther

What type of air conditioning do you want?
Central AirHeat PumpWindow AirWall Unit AirAttic FanGeothermalOtherNone

How many square feet are you considering?
Under 1,000 Square Feet1,000 - 1,500 Square Feet1,500 - 2,000 Square Feet2,000 - 2,500 Square Feet2,500 - 3,000 Square Feet3,000 or moreI have no idea

Have you been preapproval for a loan yet?
YesNo

Do you have a specific bank or mortgage company that you would like to work with?

What is a good time for you to view homes?

Please select one of these options: or