Title: Ms. Mrs. Mr. Dr. Prof. Name: Address: City: Province: Postal Code: Phone: Fax: E-mail: Have you been pre-qualified by your financial institution? Yes No
Have you been or are you currently working with areal estate agent? Yes No Choose the type(s) of property you are looking for. Condo House Duplex Townhouse Lot Cottage Other (specify) Price range: Minimum: Under $40,000 $40,000 $50,000 $60,000 $70,000 $80,000 $90,000 $100,000 $120,000 $140,000 $160,000 $180,000 $200,000 $220,000 $240,000 $260,000 $280,000 $300,000 Over $300,000 Maximum: under $40,000 $40,000 $50,000 $60,000 $70,000 $80,000 $90,000 $100,000 $120,000 $140,000 $160,000 $180,000 $200,000 $220,000 $240,000 $260,000 $280,000 $300,000 Over $300,000 Number of Bedrooms: 1 2 3 4 5+ Number of Bathrooms: 1 2 3+
Area(s) of Winnipeg or Manitoba Other requirements (eg. special school needs etc) Thank you for completing this form I will be in touch soon.