1.	I am interested in the following area(s):
	Schools are an important aspect of my search for a dream home? Yes No Choose One
	If so, what type? (Please choose at least one option.) Public Private College Other Choose One
2.	Home Information:
	Price Range? (Please choose one.) 100,000 - 150,000 150,001 - 200,000 200,001 - 250,000 250,001 - 300,000 300,001 - 350,000 350,001 - 500,000 500,001 - 1,000,000 Above 1,000,000 Choose One
	Type? (Please choose one.) Condominium Horse Property Single Family Town House Vacant Land Choose One
	Size? (Please choose one.) 1 Bedroom 2 Bedrooms 3 Bedrooms 4 Bedrooms 5 Bedrooms Other Choose One
	Bathrooms? (Please choose one.) 1 Bathroom 2 Bathrooms 3 Bathrooms 4 Bathrooms Other Choose One
	Age? (Please choose one.) Under 5 years Under 10 years Under 20 years Under 30 years Under 50 years Over 100 years (Historic) Choose One
	Floor Plan? (Please choose one.) 1.5 Story 2 Story Bi-level Floor Level Ranch Plan / Rambler Tri-Level No Preference Choose One
	What type of Garage? (Please choose one.) None Attached Detached 1 Car Garage 2 Car Garage 3 Car Garage Other Choose One
	When I would like to purchase? (Please choose one.) Immediately Within 2 - 3 months Within 3 - 6 months Within 6 months - 1 year Undecided Choose One
	Need to sell my present home? (Please choose one.) Yes No Choose One
	Prequalified by a lender? (Please choose one.) Yes No Choose One
3.	Contact Information: (Required Fields denoted by *) Name:* E-mail address:* (AOL members please include @aol.com after your screen name) Phone Number: When to contact me: The best time to reach me: Example: 6 - 8 PM I can receive information by fax: (Please include area code.)
4.	Any other additional information that will help in the search of my Dream Home. Include any special features or needs that are important.
5.	The best time to view homes?
6.	Please e-mail me a MLS list of Dream Homes in my price range that match my specifications and needs. If I would like the MLS report mailed, my mailing address is below. I undertand this report should arrive within 5 business days. Postal Address 1 Postal Address 2 City State Zip

or

Glenn Nichols 14905 Southwest Freeway Sugar Land, Texas 77478 (281) 207-5063 - office direct (281) 242-6754 - office fax (281) 277-2340 - home (281) 277-2346 - home fax Glenn@GlennNichols.com

SOUTHWEST

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