RE/MAX Affiliates Realty · 501-351-6466 · 1-888-351-6466

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Property Requirements Price Range: Please Choose $50,000 - $50,000 - $75,000 $75,000 - $100,000 $100,000 - $125,000 $125,000 - $150,000 $150,000 - $175,000 $175,000 - $200,000 $200,000 - $250,000 $250,000 - $300,000 $300,000 - $400,000 $400,000 - $500,000 $500,000 + Bedrooms: 1 2 3 4 5+ Baths 1+ 2+ 3+ 4+ Size Home: Square Feet Desired Rooms: Formal Living Room  Dining Room  Office  Den Sunroom Game Room  Workshop Other Features: Other Information When do you plan to move? Less than 30 days 6 Months to a year 3 to 6 Months 1 To 3 Months How long have you been looking for a home? I have not started yet Less than 30 days 3 Months Over 6 months Have you already met with a mortgage loan officer?  Yes  No Have you seen any home that you like? Yes  No Personal Information *First & Last Name: E-Mail Address: *Daytime Phone:   Evening Phone: Current Street Address: City, State, Zip Code: ,