Real Estate Request Form

Please, select any of the following items that apply to you...

Are you from out of town.
Are you living here in the Ottawa area..

Name:
Address:
City:
Province:
Postal Code:
Home #:
Work #:

Please indicate which area(s) are you interested in ( PLEASE FILL IN )


Age of the Home: New 1 to 5 years 5 to 10 years Over 10 years

This Home must have the following:

Price Range:	Doesn't Matter  $ 75,000 - $ 100,000 $ 100,000 - $1 25,000 $ 125,000 - $ 150,000 $ 150,000 - $ 175,000 $ 175,000 - $ 200,000 $ 200,000 - $ 225,000 $ 225,000 or more	Type of Residence:	Bungalow Two Storey Three Storey Split Level Semi Bungalow Hi-Ranch Link Semi Detached Bungalow Semi Detached Split Semi Detached Two Storey Row Unit Apartment Court Home Garden Home Townhouse
Garage:	Doesn't Matter One Two Three Four or More	Ensuite:	Doesn't Matter Yes No
Bathrooms:	Doesn't Matter One Two Three Four or More	Family Room:	Doesn't Matter Basement Mid-level Main Floor
Basement:	Doesn't Matter Unfinished Partly Finished Fully Finished	Laundry:	Doesn't Matter Basement Mid-level Main Floor
Flooring:	Doesn't Matter Wall-to-wall Hardwood Softwood	Fuel:	Doesn't Matter Electric Natural Gas Oil
Furnace:	Doesn't Matter Baseboard Forced Air Heat Pump	Air:	Doesn't Matter Central air Heat pump Window Unit None

Please include any special features you might want with the house.
(i.e. alarm system, pool, fireplace, etc.)



Your return e-mail address: