Florida County of First Choice:
HILLSBOROUGH (Tampa, Brandon, Lutz, Carrollwood, Bayshore, New Tampa) PASCO (Wesley Chapel, Dade City, Land o' Lakes, New Port Richey) PINELLAS (St. Petersburg, Clearwater, Palm Harbor, Tarpon Springs) POLK (Lakeland, Winter Haven, Disney Area) ORANGE (Orlando, Winter Park, Apopka, Winter Garden) SARASOTA (Longboat Key, Venice, Sarasota) MANATEE (Bradenton, Ellenton, Parrish)

Your Name:      
Spouse's Name: 
Children: Yes No Ages:
Address:
City, State, Zip:
Country:
Home Phone:
Work Phone: 
E-mail Address:

Our Price Range is:
between: Select $75,000 $100,000 $125,000 $150,000 $175,000 $200,000 $225,000 $250,000 $300,000 $350,000 $400,000 and Select $100,000 $125,000 $150,000 $175,000 $200,000 $225,000 $250,000 $300,000 $350,000 $400,000 $450,000 above

We Plan To Purchase our New Home Within:
A Month    A Few Months    Six Months    A Year    Longer

Type of Home:        Purpose of Home:      Community:  
Single Family Villa Townhome Condominium      Full Time Residence Vacation Home Investment Property     Gulf Front Property Bay Front Property Golf Course Community Gated Community Retirement Community Home with Acreage

Bedrooms:    Baths:   Pool:     

Other Amenities That Are Important to You:
(shower/tub in bath, Jacuzzi, garages, den, please be specific)

Do you need to sell your current home before buying? YesNo

Is your current home now listed for sale by a Realtor? YesNo

Are your currently working with any other Florida Realtor YesNo

Would you like help in finding a good mortgage? YesNoMaybe

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