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Name:           
Address:        
Address:        
City:           
State:          
Zip:            

Daytime Phone Number:     
Fax Number:               

Martial Status:	  
 Married 	
 Single

Occupation:       

Number in Household:	Adults:  
                      Children:  
               Ages of Children: 

Are you being transferred by your company?:  
 Yes 	
No

Your approximate move date:  

I am interested in more information on :	
 Fort Mill  
 Rock Hill
 Tega Cay
 Charlotte, NC
 Lancaster
 York
 Clover
 Lake Wylie Area
 Chester
 Other



Homes Price Range:        
 Up to $75,000 	
 $75,000 to $100,000 	
 $100,000 to $150,000 	
 $150,000 to $200,000 	
 $200,000 to $300,000 	
 $300,000 to $500,000 	
 over $500,000 	

Number of Bedrooms:       
 2 	
 3 	
 4 	
 5 or more


Amenities:                
        
 Golf Course 	
 Waterfront 	
 Tennis 	
 Other


Square Foot Requirements:	
 less than 1500 sq ft         
 1500 to 2000 sq ft         
 2000 to 2500 sq ft         
 2500 to 3000 sq ft         
 3000 to 4000 sq ft         
 over 4000 sq ft





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