Realty USA Southwest Inc.
Bill Dragonas
CEO/ Designated Broker
602-743-4411

What kind of home are you looking for?

^* Required

^* What type of home would you like to purchase? (Choose all that apply.)

Single Family Detached

Townhouse

Rental

Manufactured House

Condominium

Loft

Mixed Use

Other

Co-op

Vacation Home

Multi-Unit

^* What are the features of the home you are looking for?
^* Minimum number of bedrooms:
^* Minimum # of bathrooms:
^* Living area (sq. feet):
^* Age of home:
^* What is your desired price?
Have you already found a particular home to purchase? Yes No

What kind of neighborhood are you looking for?
Pick the feature(s) you consider most important.
Walk to Shops	Short Commute	Affordable	Good Climate
Low Crime	Active Night Life	Good Schools	Other
What type of neighborhood would you like to live in?
Large City	Suburban	Small City	Rural
^* What zip codes would you like to live in?

Tell us about yourself
^* Required
^*1. Your reason for this home purchase?
2. Do you currently own a home?	Yes No
3. Is the purchase of a new home contingent on your current home sale?	Yes No
4. If you plan to sell your home, have you chosen an agent to help you sell it?	Yes No Do not plan to sell a home
^* First name:
^* Last name:
^* Telephone number:	Day Phone Evening Phone
^* Street address:
Street address 2:
^* City:
^* State:
^* Zip:
^* Email address:
^* Confirm Email address:

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