*Items marked with a red asterisk are required. If you are unable to answer a required question, give us your best guess or enter a "?", "NA", "0", "don't know", etc. Click here to use our Secure & Confidential Questionnaire. Your Contact InformationName(Required) First Last Day Phone(Required)Evening Phone(Required)Cellular/PagerEmail(Required) Best Time to CallAnytimeMorningAfternoonEveningNightAddress(Required) Street Address City State Zip Your Property NeedsWhat's the most you can afford to pay monthly for your new home?(Required)$250$300$350$400$450$500$550$600$650$700$750$800$850$900$950$1,000$1,100$1,200$1,300$1,400$1,500$1,600$1,700$1,800$1,900$2,000$2,250$2,500$2,750$3,000$3,250$3,500$3,750$4,000$4,250$4,500$4,750$5,000+What's the most you can afford to put down on your home?(Required)$0$500$1,000$1,500$2,000$2,500$3,000$3,500$4,000$4,500$5,000$5,500$6,000$6,500$7,000$7,500$8,000$8,500$9,000$9,500$10,000$12,500$15,000$17,500$20,000$25,000$30,000$35,000$40,000$45,000$50,000$60,000$70,000$80,000$90,000$100,000+What price range house are you looking for?Untitled(Required)$1,000$5,000$10,000$20,000$30,000$40,000$50,000$60,000$70,000$80,000$90,000$100,000$125,000$150,000$175,000$200,000$225,000$250,000$275,000$300,000$325,000$350,000$375,000$400,000$425,000$450,000$475,000$500,000$550,000$600,000$650,000$700,000$750,000$800,000$850,000$900,000$950,000Untitled(Required)$5,000$10,000$20,000$30,000$40,000$50,000$60,000$70,000$80,000$90,000$100,000$125,000$150,000$175,000$200,000$225,000$250,000$275,000$300,000$325,000$350,000$375,000$400,000$425,000$450,000$475,000$500,000$550,000$600,000$650,000$700,000$750,000$800,000$850,000$900,000$950,000$1,000,000+How is your credit? Ugly is OK!(Required)ExcellentGoodFairPoorUglyNo CreditHow soon are you looking to purchase your next home?(Required)ASAP1 month2 months3 months4 months5 months6 months7 months8 months9 months10 months11 months12 months +In which area(s) do you wish to purchase your home?(Required)How many bedrooms do you require?(Required)Any1 or more2 or more3 or more4 or more5 or moreHow many bathrooms do you require?(Required)Any1 or more2 or more3 or more4 or more5 or moreHow many square feet do you require?500 sq ft or more600 sq ft or more700 sq ft or more800 sq ft or more900 sq ft or more1000 sq ft or more1250 sq ft or more1500 sq ft or more1750 sq ft or more2000 sq ft or more2250 sq ft or more2500 sq ft or more2750 sq ft or more3000 sq ft or more3250 sq ft or more3500 sq ft or more3750 sq ft or more4000 sq ft or moreDo you require a garage?(Required)YesNoDo you require a basement?(Required)YesNoDo you have any other special requirements?(Required)How did you hear about us?(Required)Do you have any additional questions or comments?What property or properties are you interested in?This field is hidden when viewing the formFor Sale 12377 Brookside Dr - Coming Soon 1213 N. Jay St This field is hidden when viewing the formFor Rent 1620 Myrtle Ave - Rear House 10901 Huron Street 6001 Bonnie Lane This field is hidden when viewing the formFor Rent-to-Own 12377 Brookside Dr - Coming Soon 1213 N. Jay St
