First Name:*
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Last Name:*
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Street Address 1:
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Street Address 2:
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City:
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State:
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Zip Code:*
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Home Phone:
() - |
Work Phone:
() - |
Mobile Phone:
() - |
Email Address (Primary)*
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Email Address (Secondary)
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How did you learn of this community?
Friend/Relative Referral
Internet
Mailer
New Homes Guide
Newspaper
Radio/TV
Real Estate Agent
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If Newspaper, please specify
Washington Post
Baltimore Sun
Gazette
City Paper
Community Newspaper
Other
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If Real Estate Agent, please specify
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If Magazine, please specify
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If Other, please specify
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Marital Status:
Single
Married
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Number of People in Household:
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What is your age?
Under 25
25-34
35-44
45-54
55-64
65-74
75+
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Income Bracket(Combined):
Less than $20,000
$20,000 - $40,000
$41,000 - $60,000
$61,000 - $80,000
$81,000 - $100,000
$101,000 - $150,000
$151,000 - $200,000
$201,000 - $250,000
$251,000 or greater
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Do you currently:
Rent
Own
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Do you rent/own from Bozzuto?
Yes
No
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If you own, is your current home for sale?
Yes
No
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How many years have you lived in your current home?
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What price range are you interested in?
Less than $200,000
$201,000 - $249,999
$250,000 - $299,999
$300,000 - $399,999
$400,000 - $499,999
$500,000 - $649,999
$650,000 - $799,999
$800,000 and above
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How would you describe your buying intentions?
Immediate
3-6 Months
6-12 Months
12+ Months
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Reason for moving?
Job Transfer
Marriage
Don't need a big house anymore
Need more space for kids
Don't want to rent anymore
Maintenance free lifestyle
Location
Desire single story
Close to family
Other
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Type of home desired?
Condominium
Townhouse
Single Family
Large Single Family
Patio
Ranch
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Bedrooms:
1 Bedroom
2 Bedrooms
3 Bedrooms
4 Bedrooms
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* required field
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Equal Housing Opportunity