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Name: Mr.Ms.Mrs.
Name1:
Spouse/Co-Borrower Name: Mr.Ms.Mrs.
Name2:

Please Contact Me:At Home At Work By e-mail
Home Phone: Work Phone:
E-mail address:
Best time to call:

Buying, Selling, or Both?: BuyingSellingBoth
Neighborhood area of interest:

Lot Only (skip section below House Information if only interested in buying or selling a lot only):
Buying or Selling Lot?:Buying LotSelling LotNeither
Size of Lot:

House Information:
# of Bedrooms     # of Bathrooms
Size of Garage     Attached, Detached or Either?: AttachedDetachedEither
Heated Square Footage Desired



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