General Information

*	First Name
*	Last Name
*	E-mail Address
Current Address
	Address
	City
	Province		Postal Code
*	Home Phone		Mobile Phone
	Work Phone

Basic Requirements

*

# of Bedrooms

# of Bathrooms

# of Approx Sq Ft

Type of Property

Apartment/Condo

Town Home

Duplex

Single Family

Style of Property

Any Style

Rancher

Split Level

2 Storey

3 Storey

Other

Basement

Full

Half

Part

Crawl

Property Amenities & Features (Check all that apply)

Dining Room	Family Room	Rec. Room	Living Room
Outdoor Space	Central A/C	Dishwasher	Fireplace
Paint Condition	Hardwood	Laminate	Carpet
Laundry	Deck/Patio/Balcony	Green Space	View
Sunlight
Additional Information

Reasons for Purchase

Investment	Relocating	First Time Buyer	Trading Up
Downsizing	Retirement

Purchase Timeline

*

1 Month

2 Months

3 Months

4 Months

Knowledge of Real Estate Market

First Time Buyer

Purchased

Sold

Purchased/Sold