* First Name

* Last Name

Street Address

City

State

Zip Code

Daytime Phone

Home Phone

Fax

* E-mail Address

What is your desired area to purchase a home?
Maryland Virginia Washington, DC

Are you familiar with this area?
Yes No

City Where Employed

Employment Field

Approximate date you would like to Start House Hunting

Approximate date you would like to go to Settlement

Price Range
less than $200,000 $201,000 - $300,000 $301,000 - $400,000 $401,000 - $500,000 above $500,000

Number of Bedrooms
One Two Three Four Five Six More than Six

Number of Full Baths
One Two Three Four More than Four

Type (For example, Single Family Detached, Townhome, etc.)
Singe Family Detached Townhome Condo Apartment Other

Style (For example, Colonial, Split Level, etc.)
Colonial Split Level Split Foyer Other

Square Footage
Less than 1000 sq. ft. 1001- 2000 sq. ft. 2001 - 3000 sq. ft. 3001 - 4000 sq. ft. More than 4000 sq. ft.

Basement
Yes No

Lot Size
Less than .25 acres .25 - .5 acres .5 - 1.0 acres More than 1.0 acres

Garage Type (For example, 2 Car, etc.)
No garage One Car Two Car Three Car More than Three Car

Age of Home
New 1-5 yrs. 6-10 yrs. 11-20 yrs. 21-30 yrs. 31-40 yrs. Over 41 yrs.