Customer Contact Request Form Please fill out as accurately as possible so that we may customize the information to your specifications. On the form below all items in red must be filled out for the application to be processed. Thank you!! Your Name: Mailing Address: City: State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY Zip Code: Phone Number: Email Address: Are you a Buyer or Seller: Buyer Seller If you checked Seller, what is your local address?: Property Type: House Condominium Lot or Land Acreage Commercial Income Price Range: (Seller N/A) Below $200,000 $200,000-$400,000 $400,000-$600,000 $600,000-$800,000 $800,000-$1,000,000 Above $1,000,000 Number of Bedrooms: 0-1 1-2 2-3 3-4 4-5 5+ Number of Bathrooms: 1-2 2-3 3-4 4+ Garage: Yes 1-2 Car No N/A Property Location: Reno-Sparks Region Carson City/Carson Valley North Lake Tahoe South Lake Tahoe Truckee/Donner Lake Squaw Valley/Alpine Meadows Sierra Valley/Graeagle How large of a house: 0-1000 Square Feet 1000-1500 Square Feet 1500-2000 Square Feet 2000-2500 Square Feet 2500-3000 Square Feet Over 3000 Square Feet View: City Views Lake Views Partial Mountain View Desert Views View Not Important Special Features: Great Room: Loft: Rec/Bonus Room: Dining Room: Vaulted Ceilings: Spa/Sauna: Office: Single Level: Furnished: RV Parking: Horses: In-Law Quarters: Comments/Special Requests: