Dream Home Request Form
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Please enter as much information as possible.
Required fields are marked with
*
Contact Information
* Full Name
Address
City
State
* Zip
Telephone
* Email
Area Information
Please enter the towns of interest
Are you looking for a home outside of New Jersey?
Yes
No
If yes, where?
Would you like to receive information about this area?
Yes
No
Home Specifications
Property Type
New Home
Resale
Townhouse
Multi-Family
Commercial
Land
Price Range
$
under 100,000
100,000 - 200,000
200,000 - 300,000
300,000 - 400,000
400,000 - 500,000
500,000 - 600,000
600,000 - 700,000
700,000 - 800,000
800,000 - 900,000
900,000 - 1,000,000
1,000,000 - 2,000,000
2,000,000 - 3,000,000
3,000,000+
Money Down
$
Financing
$
Desired Number of Bedrooms
-Select One-
1
2
3
4
5+
Desired Number of Bathrooms
-Select One-
1
1.5
2
2.5
3
3.5
4+
Desired Total Number of Rooms
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15+
Amenities
Fireplace
Pool
Jacuzzi
Full Basement
Full Attic
Acreage
Patio
Gardens
Urban
Suburban
Rural
Other
Do you need to sell your present home in order to buy?
Yes
No
If no, are you ready to buy?
Yes
No
If renting, expected lease date:
Please provide us with any additional information that you feel I should know to further assist you in finding your dream home.
ERA Village Green Realtors® - 35 Brant Avenue - Clark NJ - 07066 - 1-732-388-9143
Copyright © 2008 Melanie Selk and
RJR Solutions, Inc.
All Rights Reserved
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