HOME INFORMATION REQUEST
Name:
Address:
City:
State:
Zip:
Country:
Email:
Home Telephone:
Work Telephone:
Fax:
Comments:
If you are looking for a new or resale home, completing the following information will help me to assist you better.
Are you working with any other brokers?
NO
YES
How did you find our site?
SEARCH ENGINE
LINK FROM ANOTHER SITE
PUBLISHED ADVERTISEMENT
A FRIEND SUGGESTED US
Model ID or IDs :
How would you most like to be contacted first:
ANY
EMAIL
HOME PHONE
OFFICE PHONE
What city are you interested in?
ALL
APACHE JUNCTION
AHWATUKEE
AVONDALE
BUCKEYE
CASA GRANDE
CAVE CREEK
CAREFREE
CHANDLER
COTTONWOOD
FOUNTAIN HILLS
GILBERT
GLENDALE
GOLD CANYON
GOODYEAR
LITCHFIELD PARK
MESA
PARADISE VALLEY
PEORIA
PHOENIX
PHOENIX (CENTRAL)
PHOENIX (NE/P.V.)
PHOENIX (NW)
PHOENIX (SE/AHWATUKEE)
PHOENIX (SW)
QUEEN CREEK
RIO VERDE
SCOTTSDALE
SUN CITY
SUN CITY WEST
SUN LAKES
SURPRISE
TEMPE
TOLLESON
WADDELL
WICKENBURG
Are you looking for Horse Property?
YES
NO
Dwelling Type :
ALL
A. Single Fam Det
B. Townhouse
C. Patio Home
D. Condo
Min Bedrooms :
1
2
3
4
5
6
7
Max Bedrooms :
7
1
2
3
4
5
6
Min Baths :
ANY
A. 1 Full
B. 1 + 1/2
C. 1 + 3/4
D. 2 Full
E. 2 + 1/2
F. 2 + 3/4
G. 3 Full
H. 3 +
Level :
ALL
A. Single
B. Multi
C. Tri Level
E. Single + Basement
Min Price :
0
40,000
45,000
50,000
55,000
60,000
65,000
70,000
75,000
80,000
85,000
90,000
95,000
100,000
105,000
110,000
115,000
120,000
125,000
130,000
135,000
135,000
140,000
145,000
150,000
160,000
170,000
180,000
190,000
200,000
210,000
220,000
230,000
240,000
250,000
260,000
270,000
280,000
290,000
300,000
325,000
350,000
375,000
400,000
425,000
450,000
475,000
500,000
Max Price :
No Limit
40,000
45,000
50,000
55,000
60,000
65,000
70,000
75,000
80,000
85,000
90,000
95,000
100,000
105,000
110,000
115,000
120,000
125,000
130,000
135,000
135,000
140,000
145,000
150,000
160,000
170,000
180,000
190,000
200,000
210,000
220,000
230,000
240,000
250,000
260,000
270,000
280,000
290,000
300,000
325,000
350,000
375,000
400,000
425,000
450,000
475,000
500,000
Min Parking :
ALL
A. Carport - Single
B. Carport - Double
C. Garage - Single
D. Garage - 1 1/2
E. Garage - Double
F. Garage - 2 1/2
G. Garage - Triple
H. Garage - Four
Min Square Feet :
0
700
750
800
900
950
1000
1050
1100
1150
1200
1250
1300
1350
1400
1450
1500
1550
1600
1650
1700
1750
1800
1850
1900
1950
2000
2050
2100
2150
2200
2250
2300
2350
2400
2450
2500
2550
2600
2650
2700
2750
2800
2850
2900
2950
3000
3050
3100
3150
3200
3250
3300
3350
3400
3450
3500
3600
3700
3800
3900
4000
4100
4200
4300
4400
4500
Max Square Feet :
4500+
700
750
800
900
950
1000
1050
1100
1150
1200
1250
1300
1350
1400
1450
1500
1550
1600
1650
1700
1750
1800
1850
1900
1950
2000
2050
2100
2150
2200
2250
2300
2350
2400
2450
2500
2550
2600
2650
2700
2750
2800
2850
2900
2950
3000
3050
3100
3150
3200
3250
3300
3350
3400
3450
3500
3600
3700
3800
3900
4000
4100
4200
4300
4400
4500
Other Features - Below are optional
Mstr Plan Com
Golf
Formal Dining
Adult
Golf Member
Eat-In Kitchen
Security
Tennis
Retirement Community
Common Area
Lake
Are you familiar with this area?
NO
YES
Have you previously lived in this area?
NO
YES
When do you plan on moving to this area?
Undecided
Within a Month
1-3 Months
4-6 Months
7-10 Months
11 or more Months
Is there a specific part of town or community you desire additional information on? If so, please specify.
Amy and Steve Gelley
RE/MAX Achievers
Direct Phone: 623.584.1276
Achievers