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First Name:
Last Name:
Phone:
Email:
Are You Currently Working with another Realtor?YesNo
Do you wish to be contacted by: Phone Email
Will this be a: Primary Home Vacation Home Vacation now-primary later
Are you ready to buy:6 - 12 monthsOver a yearJust Looking
PREFER: Daytona: Daytona Shores: Ormond: Other
Price Range you want me to look in: under $100,000$100,000 to $200,000$200,000 to $300,000$300,000 to $400,000$300,000 to $400,000
Will this be a cash purchase:YesNo
Preferred Number of Bedrooms:12345 or more
IF YOU ARE LOOKING FOR A CONDO YesNo
Direct ocean: Front SideOceanview OKAccross Street OKRiverfrontAnyNone
Do you have Pets:Dog Cat One Two Under 10 lb. 10-20 lb. Over 20 lb.
Do you wish to rent it when not using it:Yes No
IF YOU ARE LOOKING FOR A HOUSE YesNo
Beachside: Mainland
Garage: One Car Two Car No garage required
Pool: PrivateCommunity Pool OKNo Pool
Do you have any special needs or desires?
Any Other comments?:
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