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Information Request
* Required Fields.
Name
Mr. Mrs. Ms. Dr. Mr. and Mrs. *Name:
Mailing Address
Address 1 Address 2 City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming International Zip code
Telephone/Fax/ E-mail
*Home Phone Work Phone Cell *Email
1. Living Area:
to Square Feet
2. Levels:
One Story Two Story
3. Bedrooms:
4. Baths:
Full, Half
5. Exterior Design:
Traditional French Country Mediterranean Craftsman Tudor Spanish Hacienda Texas Hill Country Contemporary Other:
6. Exterior Wall Facade:
Brick Rock / Stone Stucco Combination:
7. Roof Material:
Composition Shingle Concrete Tile Clay Tile Slate Standing Seam Metal / Galvanized
8. Windows:
Aluminum Vinyl Wood Wood Clad Aluminum
9. Budget:
Approximate Construction Budget is $
10. Timeframe:
I would like to be in a home in: 0 to 6 Months 6 to 9 Months 9 to 12 Months 12 or More Months Additional Information:
I would like to be in a home in: 0 to 6 Months 6 to 9 Months 9 to 12 Months 12 or More Months
Additional Information:
11. Home site:
Do you currently own the property? Yes, No If No, Do you need assistance in location a property? Yes, No What kind of property are you looking for? 1/2 Acre or Smaller 1/2 to 1 Acre 1 to 5 Acres 5 to 10 Acres 10 Acres or Larger Additional Information:
Do you currently own the property? Yes, No
If No, Do you need assistance in location a property? Yes, No
What kind of property are you looking for? 1/2 Acre or Smaller 1/2 to 1 Acre 1 to 5 Acres 5 to 10 Acres 10 Acres or Larger
12. Interior Design:
Please select all the specialty rooms you are looking for: Formal Dining Formal Living Office / Study Family Room / Den Game Room Theater / Media Room Breakfast Room Bonus Room Wet Bar Butler's Pantry Wine Room / Cellar Sun Room
13. Kitchen:
Please indicate the kitchen features you are looking for: Island Breakfast Bar Butler's Pantry Walk-in Pantry Built-in Desk Vegetable Sink Built-in Refrigerator Open to Living Other: Additional Information:
Please indicate the kitchen features you are looking for: Island Breakfast Bar Butler's Pantry Walk-in Pantry Built-in Desk Vegetable Sink Built-in Refrigerator Open to Living Other:
14. Master Bedroom:
Sitting Area Fireplace Patio Access Separate Walk-in Closets Coffee Bar
15. Master Bathroom:
Separate Vanities Jacuzzi Tub Separate Shower Body Sprayer Rain Shower Head Dual Shower Heads Dressing Area Steam Shower Dry Sauna Additional Information:
Separate Vanities Jacuzzi Tub Separate Shower
Body Sprayer Rain Shower Head Dual Shower Heads
Dressing Area Steam Shower Dry Sauna
16. Utility Room:
Sink Built-in Ironing Board Floor Drain Pet Door Built-in Desk Second Pantry Space for Refrigerator Drip / Dry Area
17. Garage:
Number of car spaces: Front Entry Side Entry Rear Entry Detached Workshop Area Climate Controlled Storage Closet Additional Information:
Number of car spaces:
Front Entry Side Entry Rear Entry Detached Workshop Area Climate Controlled Storage Closet
18. Outdoor Features:
Outdoor Fireplace Outdoor Kitchen Built-In Grill Refrigerator Sink Bathroom Access Screened Porch Sprinkler System Fire Pit Grill Gas Stub-out Insect Mist System Gazebo Yard / Tree Lights
Outdoor Fireplace Outdoor Kitchen
Built-In Grill Refrigerator Sink
Bathroom Access Screened Porch Sprinkler System Fire Pit Grill Gas Stub-out Insect Mist System Gazebo Yard / Tree Lights
19. Swimming Pool:
Spa Waterfall Negative Edge Outdoor Shower Pool House None Additional Information:
Spa Waterfall Negative Edge Outdoor Shower Pool House None
20. Fencing:
Wrought Iron Piped Fence Brick / Stone Privacy (Wood) Pool Surround None
21. Special Notes:
