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CONTACT INFORMATION
*	Name:
*	E-Mail:
	Street Address:
	City:
	State:
	Zip:
	Phone:
I WOULD LIKE INFORMATION ON BUYING A HOME
	Type of Home:	Residential Commercial Other
	Desired Community:
	Desired Price Range:	Under $100,000 $100,000 to $125,000 $125,000 to $150,000 $150,000 to $200,000 $200,000 to $250,000 $250,000 to $300,000 $300,000 to $350,000 $350,000 to $400,000 $400,000 to $450,000 $450,000 to $500,000 $500,000 to $600,000 $600,000 to $800,000 $800,000 to $1,000,000 $1,000,000 plus
	Minimum Bedrooms:	1 2 3 4
	Minimum Bathrooms:	1 2 3
	When are you looking to Buy?	Right away 1 to 2 months 2 to 6 months 6 months to 1 year
I WOULD LIKE INFORMATION ON SELLING A HOME
	When are you looking to sell?	Immediately within 6 months within 1 year
	May we contact you to determine the market value of your home?	Yes No
COMMENTS OR ADDITIONAL INFORMATION

 

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