Home Wish List

By filling out this form as completely as possible, we will be able to serve you better.  
Upon receiving the form we will contact you as soon as possible.  Thank you for your business!

:::::   * indicates that a field is required   :::::

                                                                     First Name*
                                                                     Last Name*
                                                                     Street Address
                                                                     Phone Number*
                                                                     E-mail Address* 

Due to the high volume of requests for information on homes currently for sale and in order to provide the quality of service that you deserve, please note that a valid full name and phone number must be provided.  To read our privacy policy click here. 

Are you currently working with another REALTOR®? (choose one that fits best)*  


Do you own your home or are you renting?* 

If you own your home, do you need to 
sell it before  you can purchase a new home?

If you answered "yes" to the previous question, 
do you currently have your home listed for sale?  

Have you been pre-qualified or pre-approved for a home loan?* 

Minimum Price Range*:  

Maximum Price Range*:   

I am interested in purchasing*:
(to select more than one, 
hold down the control key)

If interested in a townhome/villa/condo: do you own any pets? 
(some condo associations do not allow pets; others do allow pets but limit the number and weight)

I am interested in purchasing in the following towns in Broward County*:

Please select at least one 
(but not more than 12)  
towns that most interest you
so that we can narrow down 
the search better.  We can 
always add more towns later.

(to select more than one, 
hold down the control key
and use the scroll bar  
to view all the cities.)

If you're interested in purchasing in the other cities/towns in Florida that are not listed above:

(please specify which towns):  (optional field)

Home style preference (number of floors)*:  

Minimum square feet of new home*:  

Minimum number of bedrooms you need*:  

Minimum number of bathrooms you need*:   

Garage/Parking requirements*:  

Do you want a pool?*:  

I expect to purchase in*:  

When is the best time for you to view homes?  

Please enter any other information that is important to you in regards to the type of home you are looking for (examples include view, age, condition, waterfront, gated, lot size, etc.), or any other comments in the box below:






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Equal Housing Opportunity.