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Contact Information
First Name: *
Email: *
Additional Contact #:
Best time/day to call you:
Last Name: *
Mobile #:
Additional Contact # Type:
Where do you currently reside?

      Comments:
What is the reason you are interested in purchasing a property?
Primary Residence    Second Home/Vacation Home   Investment/Rental Property
      Comments:
What is your time frame for purchase?

      Comments:
Would you consider short sale listings?

      Comments:
How do you intend to pay for your property?
Cash (from savings/investments)    Cash (from proceeds of the sale of my current home)
Finance (Conventional loan)   Finance (FHA loan)   Finance (VA loan)
      Comments:
If you checked any of the above financing options besides Cash, please check one of the below:
I am already pre-approved for a mortgage; the amount I'm approved for is below
I have not been pre-approved for a mortgage yet, but am already working with a lender
I have not been pre-approved for a mortgage yet and would like a lender referral
      Amount Approved/Comments:
If you plan on using the sale proceeds of your current property, please select:

      Comments:
What is the maximum $ amount you can comfortably spend?

      Comments:
What area(s) are you interested in?
Atlantis
Delray Beach
Highland Beach
Lake Clarke Shores
Lighthouse Point
Ocean Ridge
Palm Springs
South Palm Beach
Boca Raton
Greenacres
Hypoluxo
Lake Park
Manalapan
Palm Beach
Riviera Beach
Wellington
Boynton Beach
Gulf Stream
Juno Beach
Lake Worth
Mangonia Park
Palm Beach Gardens
Royal Palm Beach
West Palm Beach
Briny Breezes
Haverhill
Jupiter
Lantana
North Palm Beach
Palm Beach Shores
Singer Island
Broward County
      Comments:
How far east/west do you want to be?
East of Intracoastal
East of Military Trail
West of Intracoastal
West of Military Trail
East of Federal Hwy
East of Jog Rd
West of Federal Hwy
West of Jog Rd
East of I-95
East of Fla Turnpike
West of I-95
West of Fla Turnpike
East of Congress Ave
East of 441
West of Congress Av
West of 441
I don't really care; I'm open to anything from the ocean to the Everglades
      Comments:
What type of property are you interested in?
Ranch-Style Single-Family Home (one-level)
Villa (attached, single-level home)
Tri-Level Townhome (attached, tri-level home)
Condominium (any floor, elevator building)
Two-Story Single-Family Home (two levels)
Townhome (attached, two-level home)
Condominium (1st floor only)
Condominium (2nd or 3rd floor, walk-up)
      Comments:
What is the maximum age of properties that you will consider?

      Comments:
How important to you is property age?

What type of community are you interested in?
No HOA
HOA with minimal fees
HOA with fees to cover amenities/services provided
HOA with security gate (unmanned)
HOA with manned security gate
55+ HOA with no security gate
55+ HOA with unmanned security gate
55+ HOA with manned security gate
Country Club community with membership/equity required
55+ Country Club community with membership/equity required
      Comments:
How many bedrooms do you require, minimum?
If one of the 'bedrooms' were actually a den or office, would that still work for you?
How many bathrooms do you require, minimum?
How much minimum square footage of living space ('under air') do you require?
What type of view do you prefer?
Ocean
Golf Course
I don't really care
Ocean/Intracoastal
Pool
Lake
Garden
No Lake
Cityscape
      Comments:
How important to you is view?

What are your parking requirements?
      Comments:
Do you own any pets?
One small dog or cat (under 25 lbs)
One medium dog (25-50 lbs)
One large dog (under 50+ lbs)
Two small dogs or cats (under 25 lbs)
Two dogs or cats (the largest being 25-50 lbs)
Two dogs or cats (the largest being 50+ lbs)
      Comments:
Please provide any additional comments below regarding your needs and desires in a property:
Needs (MUST have):
Desires (would like to have):
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Glenn Isaacson