New Page 3

Request for information on Listings

Please complete the following information in order to receive reports on listings that you would like to review. These reports will be updated when new homes or a change of price effect the list that you have requested

Please provide the following contact information:

First Name

Last Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Home Phone

FAX

E-mail

The areas you would like to receive listings from: Cities and/or Townships

School District (if you wish list limited to this district).

Minimum Price:

Maximum Price

Type of Home:

Single Family
Vacant Land
Condo
Multiple Family
Commercial

Lot Size:

Square Footage

Number of Bedrooms:

Full Bathrooms:

Half Baths:

Currently Rent or Own:

Own
Rent

Planning to buy within ___?___ months

Pre qualified for mortgage?

Yes
No

Additional requirements:

First Name
Last Name

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
FAX
E-mail

Robert O. Lindblade.All rights reserved. Revised: 12/03/08

Robert O. Lindblade.
All rights reserved.
Revised: 12/03/08