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| **** NOTICE **** -
Pennsylvania Law requires real estate
brokers and salespersons (licensees) to advise consumers of
the business relationships permitted by the Real Estate
Licensing and Registration Act.
This notice must be provided to the consumer at the first contact
where a substantive discussion about real estate occurs.
Prior to adding any comments about yourself or your requirements for
a new home, please read
the Consumer
Notice. ****
I acknowledge that I
have read the Consumer Notice
I acknowledge that I
have not read the Consumer Notice, but would like someone to contact me regarding it.
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Your
Name:
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E-mail (required):
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Daytime Phone:
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Evening Phone
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Do you currently own or rent?:
Own
Rent
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Please describe the home you are looking for:
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Price Range:
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Minimum
Maximum
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| Age Range of Home (Years): |
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| Number of Bedrooms: |
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| Number of Bathrooms: |
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| Garage: |
Yes
# Bays
No
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| Basement: |
Yes
No
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| Basement: |
Finished
Unfinished
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| Approximate Lot Size: |
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Desired Area/Location:
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Type of Property:
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Type of Heating Preferred: |
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Central Air Conditioning:
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Other details that you want to tell me about:
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Please contact me via:
E-Mail
Phone
Are you under contract with another broker
for buying or selling real estate?
Yes
No
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