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Dream Home Finder

For detailed information on buying a home or property, please complete the form below describing the type of home or property you are looking for. Someone will get back to you as quickly as possible with your results!

Name:*

Phone Number:

Fax Number:

Email Address:*

Best time to contact you:

Where are you searching? (City, State, Zip)

What is your price range?

What type(s) of property are you looking for?

Single Family Home
Condominium
Townhouse
Income Property
Cooperative
Ranch
Lots & Land
Retirement
Vacation
Other

What size? (sq ft/acres)

Number of Bedrooms:
n/a

Number of Bathrooms:
n/a

Nearby school(s) desired:

Additional Preferences:

New House (0-5 yrs.)
Newer House (5-15 yrs.)
Garage
Pool
Large Lot
Near Park

Other Preferences (Please Specify...)

How soon are you looking to purchase?

Immediately
Within 2 Months
Within 6 Months
Within 1 Year
Undecided

Will you need to sell your present home?

Yes
No

Are you pre-qualified for a loan?

Yes
No

Would you like more information about financing?

Yes
No

Enter your complete mailing address if you would like me to mail you a personalized list of homes or properties that meet your criteria:

* fields are required

BELAN REALTY
265 N. Lake Avenue
Phillips, WI 54555
Phone: 715-339-3200
Phone: 800-504-9899
Fax: 715-339-3224
Email: belan@pctcnet.net

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