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Property Request Form
If you fill out my Property Request Form below, I will customize my search to find you homes that might not yet be available on the Internet. The more thorough you are, the more accurate my search will be.
** Required Fields
Contact Information
Name:
*
Email:
*
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Conneticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Other
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
US Virgin Islands
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Zip Code:
Day Telephone:
*
Evening Telephone:
*
Fax:
Information About Your Real Estate Purchase
Why are you purchasing real estate?
I'm tired of renting
Relocating
Second home
Investment property
Retirement
For a family member
Other reason
*
When do you anticipate on purchasing your real estate?
Immediately
Less than 3 months
Less than 6 months
Less than 1 year
Just looking
Not sure
*
Why are contacting a real estate agent?
Financial Information
Will you be mortgaging your home purchase?
Yes
No
Have you been pre-approved for a mortgage?
Yes
No
How much is your down payment?
Check the following that apply:
Self-employed
First time buyer
Credit problems
Information About The Home You Are Looking For
Type of home:
Single Family
Condo
Townhouse
Patio Home
Multi Family
Mobile Home
Farm
Land Only
*
Home price:
$50,000
$75,000
$100,000
$150,000
$200,000
$250,000
$300,000
$350,000
$400,000
$500,000
$1,000,000+
To
$50,000
$75,000
$100,000
$150,000
$200,000
$250,000
$300,000
$350,000
$400,000
$500,000
$1,000,000+
*
Number of bedrooms:
1
2
3
4
5
6+
Number of bathrooms:
1
2
3
4+
Interior Features:
Living Room
Family Room
Fireplace
Den / Study
Hardwood Floors
Laundry Room
Exterior Features:
Swimming Pool
Water Front
Hot Tub
Garage
Fence
Golf Course
Other preferences or requirements:
Susan Pifer, BROKER, REALTOR© | 336-577-5240 | Susan.Pifer@ERA.com | ERA Premier Realty