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Phone: 888-692-1237 | Fax: 352-588-1055

BellaVerde
P.O. Box 519
San Antonio, FL
33576

Name:
Address:
Address 2:
City:
State:
Zip:
Home Phone:
Business Phone:
Cell Phone:
Local Phone:
Email:
Best Reached By: Home
Business
Cell
Email
Marital Status: Married
Single
Household income: Under $50,000
$50,000 - 74,999
$75,000 - $99,999
$100,000 - $149,999
$150,000 - $199,999
Over $200,000
Current Residence: Rent
Own
Square Footage Desired:

Under 1200 SF
1,201 - 1,500 SF
1,501 - 2,000 SF
2,001 - 2,500 SF
2,501 - 3,000 SF
3,001 - 3,500 SF
3,501 - 4,000 SF
4,001 - 5,000 SF
Over 5,000 SF

Price Range Desired:
Type Of Home Desired: Single Family
Custom Home
Estate Home w/In-Law Suite
Townhouse
Golf Villa
Condominium
Villa
Estate Home
Maintenance Free Villa
Other
Desired Number of Bedrooms:
How Soon:
Number Of Adults:
Number Of Children:
Will This Residence Be Used As: Primary Residence
Vacation Home
Second Home
Resort Home
Third Home
Reason For Purchasing: Job Relocation
Desirable Location
Retirement
Master Planned Community
Smaller Home
Larger Home
Investment
Other
Amenities Preffered: (check all that apply) Private Pool
Golf Course
Resort Amenities
Convenient Retail Stores
Tennis Facility
Bike Trails
Sports Center
Community Pool
Hiking Trails
Fitness Facility
Convenient Grocery Store
Schools
Community Center
How Did You Find Us: Magazine Ad
Radio
TV
Realtor
Direct Mail
Mall Kiosk
Brochure
Referral
Newspaper Ad
Billboard
Builder Reputation
Internet Search
Event
Saddlebrook
Other
I would like to have a Real Estate agent contact me directly.
Cooperating Broker:
Agent Name:
Email:
Phone Number:
Address:
Address 2:
City:
State:
Zip: