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Contact Information:

*Name:

City:

*Daytime Phone:

Cell Phone:

*Email address:

Property Information:

What type of property are you looking to buy?
CondoHouseTownhomeLuxury homeMobile homeApartment buildingCommercialOther

What is your budget / price range?

Do you want to buy soon?
YesNo

Do you presently own a property in Florida?
YesNo

Would you like to buy a condo/townhouse or property in a Gated Community exclusive to people who are 55 years old and +?
YesNoMaybeNot applicable

Are you looking to hold or re-sell?

Are you presently working with a Broker or Real estate agent in Florida?
YesNo

Do you already have a pre-approval from your bank (Financing)?
YesNoI will pay Cash

Comments / Details:

In which of these areas would you like to buy?
MiamiSunny IslesHallandaleHollywoodFort LauderdalePompano BeachDeerfieldBoca RatonDelray / Boynton BeachWest Palm BeachPort St-LucieCape-Coral / Fort Myers (West Coast)OrlandoOther

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