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Name:___________________________________________________________ Address:________________________________________________________ City:__________________________ State:___________ Zip___________ Home Phone:____________________ Business Phone:_________________ Fax:_________________________________ Price Range:_________________________ Assumable: _____________ Monthly Payment Range:_______________ Non Qualify: _____________ Total Move In Cost:__________________ Qualify: _____________ Down Payment Closing Cost Discount Points Living Area Square Feet:_____________ Size Size Size Number of Bedrooms: _____________ _________________________ Number of Living Areas: _____________ _________________________ Number of Eating Areas: _____________ _________________________ Number of Bathrooms: _____________ Garage - If yes (how many) __________ School District Preference: ___________________________________ Elementary: ___________________________________ Middle/Jr. High: ___________________________________ Sr. High: ___________________________________ Lot Size: ___________________ <1/2 Acre ____________ Wooded: _____________ >1/2 Acre ____________ Partial Wooded:_____________ >1 Acre ____________ Corner: _____________ <3 Acres ____________ Cul De Sac: _____________ >3 Acres ____________ Subdivision: _____________ List of Cities: ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ Age Range of Your New Home: ____________________________________ Please list any other items of importance: _____________________ ________________________________________________________________ Note: Complete Photo Graphics will be sent to you based upon your Criteria. Please complete and return to: Debra Daniel Keller Williams Realty 2425 E. Southlake Blvd. Suite 100 Southlake, TX 76092 Or fax to: 817-281-5667