BUYERS FORM

Size of Lot/Land Number of BedroomsAny1+2+3+4+5+6+7+8+9+10+Number of BathroomsAny1+2+3+4+5+6+7+8+9+10+FloorsAny1+2+3+4+5+Car GarageAny1+2+3+4+5+6+7+8+9+10+Property Type:Select Property TypeTwo-Family/DuplexTownhouseSingle Family (Semi-Attached)Single Family (Attached)Single Family (Detached)Residential RentalRent to OwnAgeAny AgeNew Home2010+1999 – 20101990 – 1999TO WHOM SHALL I SEND THIS INFORMATION?First Name Last Name Email Address:

Daytime PhoneEvening Phone FURTHER INFORMATIONWhen do you plan on buying?Select OneASAPWithin a MonthWithin 1 – 3 MonthWithin 3 – 6 MonthWithin a YearAre you currently working with a real estate agent?NoYesHow did you hear about this site?