Towne & Country Realty House

Are you familiar with the Northern Kentucky area?

Yes No A little

What is your timeframe to buy/move?

Less than 1 month 1 to 3 months 3 to 6 months More than 6 months

How long have you been looking for a property?

Just started 1 to 3 months 3 to 6 months 6 to 12 months More than 12 months

If you are currently working with a real estate agent or Realtor,
please list his or her name here:

How many bedrooms/bathrooms are you looking for?

What other factors are important to you when looking for a home (for example: proximity to work/school, price, size of the house, size of yard, garage, community pool, or any other special notes.)

Are you approved to buy?
(Loan approval from a local bank/KY lender, or cash buyer)

Yes No Unsure Pre-approved with contingencies N/A, Looking to rent only at this time

Do you have a house to sell before you buy?

Yes No

Please list your name, contact information and any questions you have in the box below: *

Preferred method of contact

Home Phone Mobile Phone Work Phone Text E-mail

Wufoo