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First Name *

Cell Phone *

Email Address *

-- Who Am I -- * -- Who Am I -- Landlord Tenant Buyer Seller Broker/Agent

Property Address (landlord) *

Desired Lease Date (landlord) *

Remarks (landlord) *

-- Select Commercial/Residential -- (tenant) * -- Select Commercial/Residential -- Commercial Residential

Max Monthly Rent (tenant commercial) *

Type of Business (tenant commercial) *

Desired Move in Date (tenant Commercial ) *

Remarks (tenant commercial) *

Desired Move in Date (tenant residential) *

Max Monthly Rent (tenant residential) *

Remarks (tenant residential) *

--Select Comercial/Residential (buyer) * Commercial/Residential Commercial Residential

Max Purchase Price (buyer) *

Desired Purchase Date (buyer) *

--Currently own any real estate?-- (buyer) * --Currently own any real estate?-- Yes No

--Pre-qualified for a loan?-- (buyer) * --Pre-qualified for a loan?-- Yes No

Remarks (buyer) *

--Select Commercial/Residential-- (seller) * --Select Commercial/Residential-- Commercial Residential

Property Address (seller) *

Desired Sale Date(seller) *

Remarks(seller) *

--Select Commercial/Residential--(broker/agent) * --Select Commercial/Residential-- Commercial Residential

Remarks (broker/agent) *

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