Full Name

Address

City State  Zip

Email

Phone   Cell

Area/Cities searching

Price Range Below $100,000 $101,000 - $125,000 $125,001 - $150,000 $151,000 - $200,000 $200,001 - $250,000 $250,001 - $300,000 $300,001 - $350,000 Above $350,001 Beds 1+ 2+ 3+ 4+   Baths 1+ 2+ 3+

Sq Ft  Below 1,500 sq ft 1,501 - 1,800 sq ft 1,801 - 2,100 sq ft 2,101 - 2,300 sq ft 2,301+ sq ft        Age Built with 2 years (New) 2 - 5 years old 5 -10 years old 10+ years old Does not matter

Currently working with a Realtor® No Yes

Please explain any details that you would like in your nest home

Full Name

Address

City   State  Zip  

Email

Phone   Cell

In your opinion, what condition is your house in Poor Fair Good Excellent

Age   Sq Ft      Pool   No Yes

How much do you owe on your house

When do you plan on moving Within 3 months 3 - 6 months 6+ months Does not matter

Currently working with a Realtor® No Yes

Please explain any reason upgrades or repairs