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Your Name:
Spouse's Name:
Email Address:

Mailing Address:
Apt, PO Box, etc.:
City: State: Zip:

Home Phone: Your Work Phone:
Spouse's Work Phone: Fax:

Please describe the 5 most important things stopping you from buying a new home:

Describe the features that you would like in your new home (rental or buying). Check all that apply and skip those unimportant to you. Make sure to fill out current rent parameters so we can help you stop renting.

Number of bedrooms:

   Master BR size: sq ft    Same level as children.

Number of bathrooms:

   Master suite w/ bath.    Master suite on main level.

Kitchen Size: sq ft    Central island.   Eating space.   Gourmet kitchen.

How many garage spaces do you need?    Space needed for RV or boat, etc.

Maximum commute to work (in minutes):

Current Rent: $    Current Savings: $


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Colorado Springs REALTORS®
Jorgette & Boris Krsulic
965 Pico Point
Colorado Springs, CO 80906
Colorado Springs Homes © 2007 Jorgette & Boris REALTORS® and Broomfield-Designers.com. All Rights Reserved