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    Name: * Phone Number: Fax: Email Address: * Best time to contact you: Where are you searching? (Street Address, City, State, Zip) What is your price range? What type(s) of property are you looking for? Single Family HomeCondominiumTownhouseIncome PropertyCooperativeRanchLots & LandRetirementVacationOther What size? (sq ft/acres) Number of Bedrooms: Number of Bathrooms: Nearby school(s) desired: Additional Preferences: New House (0-5 yrs.)Newer House (5-15 yrs.)GaragePoolLarge LotNear Park Other Preferences (Please Specify...) How soon are you looking to purchase? ImmediatelyWithin 2 MonthsWithin 6 MonthsWithin 1 YearUndecided Will you need to sell your present home? YesNo Are you pre-qualified for a loan? YesNo Would you like more information about financing? YesNo