YOUR CONTACT INFORMATION Name: Address: City: State: Zip: Home Number: Work Number: Email Address: DETAILS ABOUT YOUR PLANNED PURCHASE / MOVE What Localities, Cities, or Communities are you interested in moving to? Approximate Move Date: (choose one) Immediately 1-3 months 3-6 months 6-9 months 9-12 months 12-24 months Over 24 months Upon Sale of Current Home Do you currently own a home? (choose one) Yes No If yes, what do you own? (choose one) House Condo Townhome What do you plan to buy? (choose one) House Condo Townhome What is the Price Range of your dream home? (choose one) 1mm+ 750k-1mm 500k-750k 400k-500k 325k-400k 250k-325k 175k-250k 125k-175k Under 125k What is your current household income? (choose one) 300k+ 200k-300k 100k-200k 75k-100k 50k-75k 25k-50k Under 25k Have you been pre-approved by a mortgage lender? (choose one) Yes No Comments/Ideas: YOUR SEARCH CRITERIA Square Feet All Under 2000 2000-2500 2500-3000 3000-3500 3500-4000 4000-4500 4500-5000 5000-5500 Over 5500 Year Built All New Construction 5 years and newer 10 years and newer 20 years and newer Older/mature neighborhood No Preference Stories All 1 2 3 Min Bedrooms All 1 2 3 4 5+ 3/study 4/study 5/study Garages All 1 2 3 4 Min Baths All 1 1.5 2 2.5 3 3.5 4 4.5 5 6