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Florida Home Wish List 

By filling out this form as completely as possible, we will be able to serve you better. 
Upon receiving the form we will contact you as soon as possible.

* indicates a required field

Tell us how to get in touch with you: 

First Name*
Last Name*
Street Address
Phone Number*
E-mail Address* 

Due to the high volume of requests for information on homes currently for sale and 
in order to provide the quality of service that you deserve, please note that a valid 
full name and phone number must be provided
.  To read our privacy policy click here. 


Are you currently working with another REALTOR®? (choose one that fits best)*  


Do you own your home or are you renting?* 

If you own your home, do you need to 
sell it before  you can purchase a new home?

If you answered "yes" to the previous question, 
do you currently have your home listed for sale?  

Have you been pre-qualified or pre-approved for a home loan?* 

Minimum Price Range*:  

Maximum Price Range*:   

I am interested in purchasing*:
(to select more than one, 
hold down the control key)

If interested in a townhome/villa/condo: do you own any pets? 
(some condo associations do not allow pets; others do allow pets but limit the number and weight)

I am interested in purchasing in the following towns in Broward County*:

Please select at least one 
(maximum of 12) towns 
that most interest you

(to select more than one, 
hold down the control key
and use the scroll bar  
to view all the cities.)

I am also interested in purchasing in the following towns in Florida:

   (please specify which towns):  

Home style preference (number of floors)*:  

Minimum square feet of new home*:  

Minimum number of bedrooms you need*:  

Minimum number of bathrooms you need*:   

Garage/Parking requirements*:  

Do you want a pool?*:  

I expect to purchase in*:  

When is the best time for you to view homes?  

Please enter any other information that is important to you with regards to the type 
of home you are looking for (examples include view, age, condition, waterfront, 
gated, lot size, etc.), or any other comments in the box below:





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