Buyer's Contact Information

Name
Address
City
State
Zip Code
E-Mail Address
Daytime Phone
Evening Phone
Fax Number
Best Way to Contact		Any method E-mail Day Phone Evening Phone Fax Mail
Best Time to Contact		Anytime Morning Afternoon Evening

Property Information

Target Price Range
Property Type Desired		Single-family Townhouse Condominium Co-op Duplex Building lot Other Not Sure
Time Frame to Buy		Immediately Within 90 days Within six months Within one year Not sure
Minimum Sqr. Footage
Number of Bedrooms
Number of Bathrooms
Desired Lot Size
Desired Communities

Features Desired		Family Room	Formal Dining Rm
		Den/Study	Maid's Room
		Laundry Rm	Fireplace(s)
		Pool	Views
		Full Basement	Attic
		Guest House	Paved Driveway

Please list any other desired features:

Do you currently have an agent?	Yes	No
Have you been pre-qualified for a mortgage?	Yes	No
Do you want assistance in finding a mortgage?	Yes	No
Do you have a home to sell before you buy?	Yes	No