John & Wendy Rocca

 Personal Info (* indicates required fields)

 *First Name  *Last Name

 *City * Choose State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisianna 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 Virginia Washington West Virginia Wisconsin Wyoming

 *Home Phone Email Address

 Work Phone Cell Phone Fax



What is the best way to contact you?   Contact Preference Home Phone Work Phone Cell Phone Email Fax No Preference



 Type of Consumer

  Buyer  Seller  Both Buyer & Seller  Investor 



 Type of Property

  Single Family  Apartment 

  Duplex  Condo  Multi-Family



 Price Range: Low High



 Number of Bedrooms

  1    2    3    4    5    6    7+   



 Number of Bathrooms

  1    1.5     2     2.5     3     3.5     4 +   



 Area Looking To Buy/Sell

 *City    * Choose State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisianna 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 Virginia Washington West Virginia Wisconsin Wyoming



 Level Of Urgency To Purchase/ Sell

  0-2 Months    3-6 Months    6-12 Months    Over 1 Year   



How Do You Rate Your Credit? Excellent Good Fair Poor Not Sure



 Type of Financing  (Need Help Getting A Loan? Loan Finder)

  Conventional (Normal)    FHA    VA    Cash    Other   



Comments/ Concerns