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Select One $ 100,000 $ 150,000 $ 200,000 $ 250,000 $ 300,000 $ 350,000 $ 400,000 $ 450,000 $ 500,000 $ 550,000 $ 600,000 $ 650,000 $ 700,000 $ 750,000 $ 800,000 $ 850,000 $ 900,000 $ 950,000 $ 1,000,000 $ 1,250,000 $ 1,500,000 $ 1,750,000 $ 2,000,000 $ 2,250,000 $ 2,500,000 $ 2,750,000 $ 3,000,000 $ 3,250,000 $ 3,500,000 $ 3,750,000 $ 4,000,000 $ 4,250,000 $ 4,500,000 $ 4,750,000 $ 5,000,000 $ 6,000,000 $ 7,000,000 $ 8,000,000 $ 9,000,000 $ 10,000,000 </td> </tr> <tr> <td colspan="2" nowrap class="celltextcolor">List any special features that are important to you</td> <td colspan="2" class="celltext"></td> </tr> <tr> <td colspan="2" class="celltextcolor">Have you been pre-approved for a home loan?</td> <td colspan="2" class="celltext"> Yes No </td> </tr> <tr> <td colspan="2" class="celltextcolor">When is the best time for you to view homes?</td> <td colspan="2" class="celltext"> Day Evenings </td> </tr> <tr> <td colspan="4" class="celltext"> * By submitting this form with your telephone number you are consenting for Carole Smith any and all authorized representatives to contact you even if your name is on the <a href="https://www.donotcall.gov/default.aspx" target="_new">Federal Do-Not-Call List</a> <br><br><a href="#" onClick="window.open('custPrivacyPolicy.asp?id=0587059','Terms','scrollbars=yes,width=450,height=250')">Privacy Policy</a> </td> </tr> <tr> <td colspan="4" class="celltextcolor"> <table width="15%" border="0" align="center" cellpadding="3" cellspacing="0"> <tr> <td width="21%"></td> <td width="79%"><a onClick="self.status='';return true;" onMouseOver="self.status='Click to reset form';return true;" onMouseOut="self.status='';return true;" href="javascript:form1.reset()"><img src="images/reset.gif" border="0"></a></td> </tr> </table> </td> </tr> <tr> <td colspan="4" class="celltext" align="center"> <a href="http://www.resionline.com" target="_blank"><img src="../megatemplate/images/resilogo.png" alt="Real Estate Web Design" width="96" height="39" border="0"></a></td> </tr> </table>
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Esslinger Wooten Maxwell, Realtors | 550 South Dixie Highway Coral Gables, FL 33146
Phone1: (305) 329-7770 | Fax: (305) 520-0323 |  csmith@veryspecialhomes.com
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