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Title:	Mr Mrs Miss Ms
Name:
Email Address:
Daytime Phone:
Evening Phone:
Fax Number:
Style of home:	Bungalow Raised Bungalow 1.5 Storey 2 Storey 2.5 Storey 3 Storey Mulitilevel BackSplit FrontSplit No preference
Type of Home:	Attached Detached Semi-Detached Link Cottage Farm Business Vacant Land
Location/Area:
Price Range:	Under $100,000 $100,000-$150,000 $150,000-$200,000 $200,000-$250,000 $250,000-$300,000 Over $300,000
Square Footage:	1000 or Less 1000-1500 1500-2000 2000-2500 2500-3000 3000 or More
Bedrooms:	2 3 4 5 More
Bathrooms:	1 1.5 2 2.5 3 3.5 4 More
Age of Home:	Unimportant New <10 yrs. <25 yrs. <40 yrs. >40 yrs.
Pool:	Yes   No  Maybe
Garage:	Yes   No  Maybe
I am Interested In:	Buying Selling Feedback
Currently I live in:
Are You Working with a Realtor:	No Yes
Current Residential Status:	Own Rent
Additional Comments: