Email:

Phone Number:

Fax:

What Price Range?

Will this property be a: (check all that apply)

Primary Residence   Second Home

Investment Property   1031 Exchange   Other

Property Type: (check all that apply)

Single Family   Condo   Town home   Loft

Commercial   Land   Multi Family   Condo Conversions

Income Properties    Co-Op

Other: (please specify below)

What Location Features Are Important To You?: (check all that apply)

Oceanfront   Beachfront   Beach Area   Downtown

On New River   Near Interstate   Waterfront

Suburban   Near Shopping   None

Other: (please specify below)

What Waterfront Features Are Important To You?: 

(check all that apply)

Ocean View   Intra coastal View   Lake View   Water View  

Ocean Access No Fixed Bridges   Ocean Access Fixed Bridges

Deeded Dock   Community Dock   None

What Age Property Interests You?: (check all that apply)

Pre 1950's   Mid-Century Modern   1970's   1980's  

1990's   Less Than 10 Years Old   Less Than 5 Years Old

New Construction   Pre Construction

What Condition Interests You?: (check all that apply)

New   Newly Remodeled   Needs Cosmetic Improvements

Needs Partial Renovation   Needs Total Renovation

If a condo, co-op, loft or town home, what building features are 

important to you?: (check all that apply)

High Rise   Low Rise   Fitness Center

Over 55 Only   Pool   Security Guard

Gated   Garage Parking   Covered Parking   None

Minimum Number Of Bedrooms:

1   2   3   4   5

Minimum Number Of Bathrooms: (check all that apply)

Are you looking for properties for you or another investor/client?

(check all that apply)

Yes   No   Both

Are You A Licensed Real Estate Agent/Realtor/Broker? 

If Yes With What Company?

Yes/No

Are You A Mortgage Broker/Banker? 

If Yes With What Company?

Yes/No

When do you plan to purchase?

Now   Within 30 Days   Within 60 Days   Within 90 Days

When The Right Property Is Found   Undecided

Have You Been Pre-qualified for financing?

Yes   No

Do you want me to help with financing?

Yes   No

If Necessary Can You Obtain Hard Money Or Pay Cash?

Yes   No

Would You Like To Subscribe To My Monthly Newsletter?

Yes   No

How Did You Find My Website?

Web Surfing   Other Website   Personal Recommendation   

Miami Herald   Sun Sentinel   New York Times   Advocate

Other Magazine   Radio   Post Card Or Mailer   

Client Of Mine

Other (specify below)

Question, Suggestion, Comments: (optional)