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VIP Home Request Sign-up for our VIP Home Finder Program. Provide information about your perfect home and you will be contacted by us as soon as it is available on the market. •[ Indicates a Required Field ] Property Information Desired City or Area: • Desired State: ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WASHINGTON - DC WEST VIRGINIA WISCONSIN WYOMING • Size of Home: • sq. ft. or more Price Range: to • Size of Lot/Land: sq. ft. or more Number of Bedrooms: Any 1 2 3 4 5 6 7 8 9 10 or more Number of Bathrooms: Any 1 2 3 4 5 6 7 8 9 10 or more Floors: Any 1 2 3 4 or more Car Garage: Any 1 2 3 4 5 6 7 8 9 10 or more Property Type: - Select Property Type - Two-Family/Duplex Townhouse Single Family (Semi-Attached) Single Family (Attached) Single Family (Detached) Residential Rental Rent to Own New Construction Multi-family/Mulitple Units Multi-family Mfd/Mobile Lease/Lease Purchase Land/Lot Investment Hotels & Lodging Farm/Ranch Co-op Condo/Townhouse/Co-op Condo Commercial Lease Commercial For Sale Business for Sale • Age: Any Age New Home 1990+ 1980-1989 Before 1979 Amenities & Other Features Please Choose All that Apply Property Features Granite Countertops Stainless Steel Appliances Fireplace Disability Features Balcony Dock Boat Launch Horse Facilities Horses Allowed Swimming Pool Spa RV Parking Walk-in Pantry Dining Room Den/Office Attic Basement Laundry Room Loft Bonus Room Master Suite/Retreat Lot Features Garden View Hillside View Lot: Private Corner Lot Cul-de-Sac On Golf Course Water Front City Lights View Mountain View Ocean View River View Water View Community Features Clubhouse/Rec. Room Exercise Area Community Golf Course Recreation Facilities Security Features Senior Community Community Spa/Hot Tub Community Swimming Pool Gated Community Additional Comments Provide any other information, questions, or concerns here: To Whom Shall I Send this Information? First Name: • Last Name: • Email Address: • Daytime Phone: • Evening Phone: What is Your Current Address? Address: • City: • State: ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WASHINGTON - DC WEST VIRGINIA WISCONSIN WYOMING • ZIP: • Further Information When do you plan on buying or selling your home? - Select - ASAP Within a Month Within 1-3 Months Within 3-6 Months Within a Year Later than a Year Not Sure Yet Just Looking • Are you currently working with a real estate agent? Yes No How did you hear about this site? • Please type the characters you see in the image below: Submit Request Your privacy is important. Your information will not be shared, sold or exchanged with anyone outside of the scope of this service.

	Kane & Associates Realtors Ph: 800-900-6058   -  Fax: 510-523-3360 879 Island Drive Alameda, CA 94502 DRE License # 00530632 www.KaneAndAssociatesRealtors.com
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