This form is designed to assist you in purchasing property in our area. By providing us with all the applicable information, we can effectively help you in your search and in your purchase. All the information that you provide us will be kept in strict confidence and will only be used to help you in your quest. The Asterick (*) indicates required information. Welcome Home!
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Under $100,000 $100,000 - $200,000 $200,000 - $300,000 Over $300,000 Need to Sell Property First |
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Do You Have Any Special Interests Or Concerns Such As
Schools, Community Activities, Transportation, Financing, etc.? |
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Your Contact Information *Name: Address: City: State / Province: Zip / Postal Code: |
*Daytime Phone: Evening Phone: Cell Phone: Best Time to Call: *E-mail Address: |
| NOTE: Wisconsin State Statute 452.135 requires disclosure of agency before I may provide brokerage services. I work as the agent of the seller. Visit our agency section of this web site for a complete discussion of agency. Submitting this form will serve as acknowledgement that you have read and understand this information.
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| Verna Acker, CRS Waterford, Wisconsin 262-534-7400 |