1. Do you currently have a "Business Relationship Between Broker and Buyer"       
          (A.K.A. Buyer Agency Agreement) with another real estate company?

  Select One Yes No

     If Yes, name of Realtor:    Firm:

 If Yes, when does your current  agreement expire:    

 

       2. Type of property you would like to purchase:  Select One Single Family Home Apartment Building Vacant Land/Acreage Farm Commercial Property
 

       3. If you selected "Single Family Home" or "Apartment Building",
                                        please describe the Type of building you desire:
                                      
(Press & Hold Control to make Multiple Selections)
Select All That Apply Row/Townehome End-of Row Semi-Detached Detached

          4. Minimum Number of Bedrooms  Select One 1 or more 2 or more 3 or more 4 or more 5 or more

          5. Minimum Number of Bathrooms  Select One 1 or more 1.5 or more 2 or more 2.5 or more 3 or more 3.5 or more 4 or more
 

           6. Parking Requirements:

(Press & Hold Control to make Multiple Selections)
  Select All That Apply On-Street Parking Off-Street Parking 1 or more car garage 2 or more car garage 3 or more car garage 4 or more car garage

           7. Size of Lot:

(Press & Hold Control to make Multiple Selections)
Select All That Apply Up to 1/4 acre 1/4 to 1/2 acre 1/2 acre to 1 acre 1 acre to 2 acres 2 acres to 4 acres 4 acres to 10 acres 10 acres to 25 acres 25 acres to 50 acres 50 acres to 75 acres 75 acres to 100 acres 100 acres to 200 acres 200 or more acres

            8. Area's by School District

(Press & Hold Control to make Multiple Selections)
Select All That Apply Cocalico Columbia Conestoga Valley Donegal Eastern Lancaster Elizabethtown Ephrata Hempfield Lampeter Strasburg Manheim Central Manheim Township Penn Manor Pequea Valley Lancaster Solanco Warwick
 

            9. Price Range:

Select All That Apply Up to $49,999 $50,000 to $60,000 $60,001 to $70,000 $70,001 to $80,000 $80,001 to $90,000 $90,001 to $100,000 $100,001 to $110,000 $110,001 to $125,000 $125,001 to $150,000 $150,001 to $175,000 $175,001 to $200,000 $200,001 to $250,000 $250,001 to $300,000 $300,000 to $350,000 $350,001 to $400,000 $400,001 to $500,000 $500,001 to $750,000 $750,001 to $1,000,000
 

            10. Comments/Additional Criteria:

              11. Your Contact information:

	First Name
	Last name
	Mailing Address
	City
	State
	Zip
	Home Phone
	Best Time To Call
	Cell Phone
	Best Time To Call
	Work Phone
	Best Time To Call
	E-mail Address

 

Thank you for choosing Real Choice Real Estate, Inc.
  We will contact you as per your instructions regarding this matter.
All information received will remain confidential.

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