Working with a REALTOR?	NoYesUncommitted
Full Name*
Address*
City, ST, Zip*
Daytime Phone*
Evening Phone
E-mail Address*
Estimated Move Date	30 Days60 Days90 Days6 monthsUndecided
	*Required Entry
Describe the home you would like to find:
Priced from	$80,000100,000125,000150,000175,000200,000225,000250,000275,000300,000350,000400,000450,000500,000600,000700,000800,000900,0001,000,000   To $100,000125,000150,000175,000200,000225,000250,000275,000300,000350,000400,000450,000500,000600,000700,000800,000900,0001,000,0001,500,000 and up
Type of property	Residential - Single FamilyTownhouse or CondoRural PropertyHorse PropertyWaterfront PropertyRaw LandIncome Property
Bedrooms	1 or more2 or more3 or more4 or more Baths  1 or more2 or more3 or more
Square Feet	800 or more1000 or more1200 or more1500 or more1800 or more2000 or more2500 or more3000 or more4000 or more
Car Storage	Garage - 1 or more spacesGarage - 2 or more spacesGarage - 3 or more spacesGarage not necessary
Age of Home	AnyHistoric Home1930 or newer1950 or newer1970 or newer1980 or newer1990 or newer2000 or newerNew Construction
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