ON-LINE INFORMATION REQUEST

---

I would like to request additional information on the
BONUS DOLLARS PROGRAM

---

REQUIREMENTS
(Check All That Apply)

Purchase Rent

PROPERTY TYPE House Condominium Town House Villa Apartment Vacant Land Other

BEDROOMS 2 3 4 5+

PRICE RANGE $60,000 - $100,000 $100,000 - $175,000 $175,000 - $300,000 $300,000 - $600,000 $600,000 - $1.5 M Over $1.5 M

LOCATION Country Club Tennis Club Yacht Club 55+ Community 2-4 Story High Rise Equestrian Retirement

AMENITIES Dockage Tennis Golf Ocean View Lake View Marina View Golf View Pets Allowed

RESIDENCY Full Time Part Time Investment TIME FRAME Immediate Within 6 Months Within 1 Year

FINANCING (Cash Down) 10% 20% 25% IN FULL Other

FOR RENTALS ONLY

RENT DURATION 12 Months 3 Months (Min.)

PETS Yes No

ANNUAL MONTHLY RATES $800-$1200 $1200-$2500 Over $2500

SEASONAL MONTHLY RATES (Dec.-Mar.) $1500-$2500 $2500-$4500

Name:

E-Mail:

Street Address:

City, State, Zip:

,

Phone:

Fax:

Are you currently working with a Realtor?	Yes    No
How would you like to be contacted?	Phone Fax E-Mail
Best time of the day to reach you:
When will you be available to view properties?

ADDITIONAL COMMENTS:



THANK YOU FOR VISITING OUR WEB SITE
WE WILL RESPOND TO YOUR INQUIRY AS SOON AS POSSIBLE