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Name:
Phone:
Email:
Location:
Lima
Spencerville
Elida
Bath
Bluffton
Ada
Allen East
Delphos
Have no Preference
Number In Household:
1
2
3
4
5
6
7
8 or More
Bedrooms:
1
2
3
4 or more
Address:
City:
ST:
Zip:
Needs:
Buying:
Selling:
Price Range:
Under $30,000
$31,000 to $60,000
$61,000 to $90,000
$91,000 to $120,000
$121,000 to $150,000
$151,000 to $180,000
$181,000 to $210,000
$211,000 to $240,000
$241,000 to $270,000
$271,000 to $300,000
Above $300,000
Single Story:
Yes
No
Either
Baths:
1
2
3
4 or more
Please Enter Any Additional Comments:
