Brad White

Name:*

Email:*

Phone Number: * (XXX) XXX-XXXX

Best time to Call: (example: weekdays 9-5pm)

Fax Number: (XXX) XXX-XXXX

Property Type: * Residential, Acreage, Commercial, etc.

City: *

Preferred Location(s): * Specific neighbourhood or area of city

Price Range: * Please Select... Under $50,000 $50,000 - $100,000 $100,000 - $150,000 $150,000 - $200,000 $200,000 - $250,000 $250,000 - $300,000 $300,000 - $350,000 $350,000 - $400,000 $400,000 - $450,000 $450,000 - $500,000 $500,000 - $550,000 $550,000 - $600,000 $600,000 - $650,000 $650,000 - $700,000 $700,000 - $750,000 $750,000 - $800,000 $800,000 - $850,000 $850,000 - $900,000 $900,000 - $950,000 $950,000 - $1,000,000 $1,000,000 or Over

Would you like mortgage information?: Please Select... Yes No See Comments

Note: you only need to fill out this portion if your requested real estate interest is of the residential type

House Type: Please Select... Single Family Attached Condo Apartment Condo Townhouse Multi Family Duplex Triplex Quadplex No Preference See Comments

House Style: Please Select... Bungalow Split Level Bi-Level 4 Level Split Back Split 2 Story 2 Story Split No Preference See Comments

Living Space: Please Select... 1000 - 1400 sq.ft 1400 - 1800 sq.ft 1800 - 2400 sq.ft 2400 - 3000 sq.ft 3000 - 3500 sq.ft Over 4000 sq.ft No Preference See Comments

Building Age: Please Select... New 1-5 Years 5-10 Years 10-15 Years 15-25 Years No Preference See Comments

Bedrooms: Please Select... One Two Three Four Five or more

Bathrooms: Please Select... 1 Bath 1 and 1/2 Baths 2 Baths 2 and 1/2 Baths 3 Baths or more

Ensuite bathroom desired: Please Select... 1 Bath 1 and 1/2 Baths 2 Baths 2 and 1/2 Baths 3 Baths or more

Extra Rooms: Please Select... Yes No No Preference See Comments

Fireplace: Please Select... Yes No No Preference See Comments

Yard Exposure: Please Select... North East South West No Preference See Comments

Basement: Please Select... Fully Developed Undeveloped Semi-Developed With Walkout None No Preference See Comments

Garage: Please Select... Single Car Attached Double Car Attached Tripple Car Attached Single Car Detached Double Car Detached Not Required No Preference See Comments

RV Parking: Please Select... Yes No No Preference See Comments

Preferred School Type: Please Select... Public Catholic Private French Immersion No Preference See Comments

Additional Requirements / Comments: