OWNER NAME
PROPERTY ADDRESS
CITY Lake Worth Wellington Royal Palm Beach Loxahatchee West Palm Beach Lantana Palm Beach Gardens Boynton Beach The Acreage
ZIP
BEDROOMS 1 2 3 4 5 6 more than 6
BATHROOMS 1 1.5 2 2.5 3 3.5 4 4.5 5 more than 5
SUBDIVISION
POOL? YES - INGROUND SCREENED & HEATED YES INGROUND - SCREENED YES INGROUND -NO SCREEN YES- INGROUND - SCREENED, HEATED, with SPA SPA ONLY YES - ABOVE GROUND NO
WATERFRONT? LAKEFRONT LAKEVIEW ONLY CANAL POND OCEAN INTRACOASTAL NO
LOT SIZE
DAYTIME PHONE
EVENING PHONE
E-MAIL
RE-CONFIRM E-MAIL
PREFER TO BE CONTACTED VIA PHONE - DAYTIME VIA PHONE - EVENING VIA E-MAIL
MORTGAGE BALANCE (If you'd like to have us prepare a closing costs estimate)
ANY ADDITIONAL INFORMATION: