Name (required)

Email Address (required)

Street Address (required)

City (required)

State (required)

Zip Code (required)

Home Phone with Area Code (required)

Best Time to Call at Home (required)

Work Phone with Area Code

Best Time to Call at Work

Property Type Desired

Preferred Location

Single Family Duplex Townhouse/Condominium Apartment Commercial Property Lots & Land Other

Fort Stewart Area Hunter Army Airfield Richmond Hill Area Coastal Georgia Savannah Area Other

Number of Bedrooms Desired

Number of Bathrooms Desired

Square Footage Desired

Price Range

Not Buying - Interested in Renting Less than $100,000 $100,000 - $150,000 $151,000 - $200,000 $201,000 - $250,000 $251,000 - $300,000 Over $300,000

When do you need your new home?

When do you plan to sell your current home?

When Current Home Sells Immediately 1 Month 2 Months 3 Months 4-6 Months 6-8 Months 9-12 Months More than 12 months

Currently Renting Buying Additional Home Immediately 1 Month 2 Months 3 Months 4-6 Months 6-8 Months 9-12 Months More than 12 months

Is your current home listed with a Realtor?

 Yes     No

May a Realtor contact you concerning listing your current home?

 Yes     No

Driving distance from employment desired?

What are your financing requirements?

Please choose a distance 5 miles or less 10 miles or less 15 miles or less 20 miles or less 25 miles or less 50 miles or less

Mortgage Not Needed Please have lender contact me Pre-Qualified Pre-Approved In-Process VA Loan USAA

Additional Comments or Requirements?