CONTACT INFORMATION
Name
Address
City
State
Please Select AK AL AR AZ CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NC ND NE NV NH NJ NM NY OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip
Telephone
Cell
E-mail
SPECIAL NEEDS
Preferred method of contact telephone email email (or) telephone
When are you considering a move?
Reason for move:
Need to sell your present home? yes no
Would you like to get prequalified by our in-house mortgage lender? yes no
Area (community) preference:
Are schools important to you? yes no Ages of children:
Are you currently working with another North Carolina Realtor? yes no
NEW HOME REQUIREMENTS
Price Range
Please choose an option. $50,000 to $100,000 $100,000 to $150,000 $150,000 to $250,000 $250,000 to $350,000 $350,000 to $500,000 $500,000 to $1,000,000 Over $1,000,000
Bedrooms
Please choose an option. 2 or more 3 or more 4 or more 5 or more
Type of Home
Please choose an option. Single family Townhouse Condominium Cluster Other
Bathrooms
Please choose an option. 1 and 1/2 or more 2 or more 2 and 1/2 or more 3 or more 4 or more
Size of Home
Please choose an option. 1,000 to 2,000 sq. ft. 2,000 to 3,000 sq. ft. 3,000 to 3,500 sq. ft. over 3,500 sq. ft.
Garage
Please choose an option. 1 car or more 2 cars or more 3 cars or more 4 cars or more
Age of Home
Please choose an option. New construction Less than 5 years Less than 10 years Less than 15 years No preferrence
Acreage
Please choose an option. 0 to 1/2 acre 1/2 to 1 acre 1 to 2 acre 2 to 5 acres 5 to 10 acres Over 10 acres
ADDITIONAL COMMENTS
By submitting this form with your telephone number you are consenting for Home-Search-Now Dee and or Jim Parrish to contact you even if your name is on a Federal or State "Do not call list."