First Name
Last Name
Telephone Number
Email Address
Address
City
State
Zip Code
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2008
2009
2010
2011
2012
Realtor of Choice
Evanna Betcher
Kaye Johnson
Laura Byrd
Lorna Alexander
Sandy Vincent
Twyla McDonald
Dennis Woomamavah
Sherley Halterman
Donna Borer
Terri Elrod
Paul Deweese
Anthony Colman
Lindy Thur
House Number on Lot
5012
5010
5008
5006
5004
2412
2408
2406
2214
2216
2220
2222
4733
4735
4737
4739
4741
2206
2208
2210
2212
2230
Undecided
Desired Date of Move-In
Request Realtor
Selected Home of Choice
Price List
140,000
145,000
150,000
155,000
160,000
165,000
170,000
175,000
180,000
185,000
190,000
No. of Bedrooms
2 Bedroom
3 Bedroom
4 Bedroom
5 Bedroom
Bathrooms
2 Bathrooms
3 Bathrooms
4 Bathrooms
No. of Living Areas
1- Living Area
2- Living Area
3 - Living Area
Max. Price
Required Bedrooms
Required Bathrooms
Living Areas
Additional Request
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