When are you considering purchasing a home?
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This Month
Within next three months
Within the next six months
Within the next year
Within the next eighteen months
Within the next two years
Where would you like to live (Select one)?
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A family community
A retirement community
On land you already own
On land we can provide
What Part of Florida Would You Like to Live In (select all that apply)?
Altamonte Springs
Anna Maria
Apopka
Arcadia
Auburndale
Avon Park
Barefoot Bay
Boyton Beach
Bradenton
Brandon
Brooksville
Clearwater
Crystal River
Dade City
Davenport
Elkton
Estero
Flagler Beach
Ft. Meade
Fort Myers
Ft Pierce
Frostproof
Grand Island
Haines City
Homosassa
Indiantown
Kissimmee
Lake Alfred
Lakeland
Lake Wales
Lake Worth
Largo
Leesburg
Marathon
Naples
New Port Richey
North Fort Myers
Ocala
Orlando
Ormond Beach
Palmetto
Pinellas Park
Plant City
Port St Lucie
Punta Gorda
Riverview
Rockledge
Ruskin
Sebastian
Sebring
Snug Harbor
Spring Hill
Stuart
Sun City Center
Tampa
Valrico
Vero Beach
Wimauma
Winter Garden
Winter Haven
Winter Springs
Zephyrhills
Select all the cities where you would want private land (select all that apply):
Apollo Beach
Arcadia
Auburndale
Barefoot Bay
Bartow
Belleair Beach
Belleair Bluffs
Brooksville
Chiefland
Clearwater
Clewiston
Cocoa
Dade City
Daytona Beach
Dunedin
Estero
Ft. Lauderdale
Ft Meade
Fort Myers
Fruitland Park
Gainesville
Haines City
Homestead
Hudson
Jacksonville
Key Biscayne
Labelle
Lakeland
Lake City
Lake Wales
Lake Worth
Largo
Lecanto
Madeira Beach
Marianna
Medart
Miami
Miami Beach
Naples
New Port Richey
North Ft. Myers
Ocala
Okeechobee
Oldsmar
Orlando
Orange Park
Palm Harbor
Palmetto
Panama City
Pensacola
Pinellas Park
Plant City
Port Orange
Port Richey
Punta Gorda
Reddington Beach
Riverview
Ruskin
St. Augustine
St. Petersburg
Sarasota
Seminole
Snug Harbor
Spring Hill
Sun City Center
Tallahassee
Tampa
Tarpon Springs
Temple Terrace
Treasure Island
W. Palm Beach
Zephyrhills
How big of a home are you looking for? Please check all that apply.
2 Bedroom - 1 Bath
1,000 sq.ft. - 1,400 sq. ft.
3 Bedroom - 1 Bath
1,500 sq. ft. - 1,900 sq. ft.
3 Bedroom - 2 Bath
2,000 sq. ft. - 2,400 sq. ft.
4 Bedroom - 2 Bath
2,500 sq. ft. - or larger
Bigger
The Most Important Features I want are:
Central Air
Luxury Appliances
Plush Carpeting
Whirlpool Tub
Large Living Room
Formal Dining Room
Walk in Pantry
Large Master Suite
Large Kitchen
Computer Room
What activities most interest you?
Fishing and Boating
Golf
Going to the Beach
Bicycling, roller skating, jogging
Snorkeling and Scuba diving
Organized activities like bridge or chess clubs
Lodges, social clubs
Being away from it all
Being near (select all that apply)
Schools
Churches
Hospitals
Nightlife
Outdoor Activities and Parks
Parks
Shopping
Are you:
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Working
Retired
If employed, where is your job?
What is your job description?
What is your budget for a home (not including land)
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$ 50,000 to 60,000
$ 60,000 to 70,000
$ 70,000 to 80,000
$ 90,000 to 100,000
$ 100,000 to $120,000
$ 120,000 to $150,000
Over $ 150,000
What is your budget for land?
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$ 30,000 to 40,000
$ 40,000 to 50,000
$ 50,000 to 60,000
$ 60,000 to 70,000
$ 70,000 to 80,000
$ 90,000 to 100,000
Over $ 100,000
What down payment percentage can you make?
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10%
20%
30%
40%
50%
More
What monthly payment would fit into your budget?
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$300 - 400
$400 - 500
$500 - 600
$600 - 800
$800 - 1,000
$1,000 - 1,5000
Your Name:
Current Street Address:
City:
State:
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, D.C.
West Virginia
Wisconsin
Wyoming
Zip:
Email:
Home Phone no dashes! (XXXXXXXXXX):
Work Phone no dashes! (XXXXXXXXXX):
May we have your permission to contact you with information about special deals in your price range and areas you’re interested in?
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Yes
No
How would you prefer to be contacted?
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Email
Postal Mail
Home Phone
Work Phone
If by phone, what hours are best to call?