Full Name:

Address:

City:

State:

Zip Code:

Phone Number:

Email Address:

Approximate square footage of home you are looking for:

Less than 2,000 sq ft Between 2,000 sq ft to 2,500 sq ft Between 2,500 sq ft to 3,000 sq ft Between 3,000 sq ft to 3,500 sq ft Larger than 3,500 sq ft

What area's where you wanting to look at?

Greenfield Community School District New Palestine Schools Eastern Hancock Schools Other

Approximate price range of home you plan to buy.

Less than $100,000 $ 100,000 - $150,000 $150,000 - $200,000 More than $200,000

When do you plan to move?

In the next 3 months In the next 6 months In the next 12 months Not within the next year