Mary Fay
816-331-5401
MaryB@
reeceandnichols.com
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HOUSE NUMBER
and/or
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and/or
PRICE RANGE
to
ID / MLS NUMBER
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Relocation Information
Moving from *
Moving to *
Move type *
Personal
Corporate
Employer
Number of people relocating with you?
When will you relocate?
Immediately
1-3 Months
4-6 Months
7-9 Months
Longer
Do you have a home to sell?
Yes
No
Will you purchase or rent?
Purchase
Rent
Contact Information
First name *
Last name *
E-mail address *
Street address 1
Street address 2
City
State or province
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Wyoming
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip code
County
Country
Daytime phone *
Evening phone
Best time to contact you
Tell Us About The Home You Want
Home type
Single Family
Half Duplex
Condo, Loft Style
Mobile Home
Townhouse
Other
Patio/Villa
Desired Location
Metro Area KS - HMLS
Metro Area MO - HMLS
Outlying Area KS - HMLS
Outlying Area MO - HMLS
Warsaw-Sedalia-Lakes Area
Columbia and Surrounding Areas
Junction City - Fort Riley Area
Manhattan - Fort Riley Area
Jefferson City Area
St. Joseph and Surrounding Areas
Lawrence and Surrounding Areas
Topeka and Surrounding Areas
Warrensburg-Knob Noster-Clinton Areas
Boonville, Marshall and Surrounding Areas
Lake of the Ozarks and Surrounding Areas
Style
1.5 Stories
2 Stories
3 Stories
Split Foyer
Bungalow
Contemporary
Ranch
Split Level
Stories
Bedrooms
Baths
Basement
Yes
No
Garage
1 or more
2 or more
3 or more
Price range
$0
$50,000
$55,000
$60,000
$65,000
$70,000
$75,000
$80,000
$85,000
$90,000
$95,000
$100,000
$105,000
$110,000
$115,000
$120,000
$125,000
$130,000
$135,000
$140,000
$145,000
$150,000
$155,000
$160,000
$165,000
$170,000
$175,000
$180,000
$185,000
$190,000
$195,000
$200,000
$205,000
$210,000
$215,000
$220,000
$225,000
$230,000
$235,000
$240,000
$245,000
$250,000
$255,000
$260,000
$265,000
$270,000
$275,000
$280,000
$285,000
$290,000
$295,000
$300,000
$305,000
$310,000
$315,000
$320,000
$325,000
$330,000
$335,000
$340,000
$345,000
$350,000
$355,000
$360,000
$365,000
$370,000
$375,000
$380,000
$385,000
$390,000
$395,000
$400,000
$405,000
$410,000
$415,000
$420,000
$425,000
$430,000
$435,000
$440,000
$445,000
$450,000
$455,000
$460,000
$465,000
$470,000
$475,000
$480,000
$485,000
$490,000
$495,000
$500,000
$505,000
$510,000
$515,000
$520,000
$525,000
$530,000
$535,000
$540,000
$545,000
$550,000
$555,000
$560,000
$565,000
$570,000
$575,000
$580,000
$585,000
$590,000
$595,000
$600,000
$605,000
$610,000
$615,000
$620,000
$625,000
$630,000
$635,000
$640,000
$645,000
$650,000
$655,000
$660,000
$665,000
$670,000
$675,000
$680,000
$685,000
$690,000
$695,000
$700,000
$705,000
$710,000
$715,000
$720,000
$725,000
$730,000
$735,000
$740,000
$745,000
$750,000
$755,000
$760,000
$765,000
$770,000
$775,000
$780,000
$785,000
$790,000
$795,000
$800,000
$805,000
$810,000
$815,000
$820,000
$825,000
$830,000
$835,000
$840,000
$845,000
$850,000
$855,000
$860,000
$865,000
$870,000
$875,000
$880,000
$885,000
$890,000
$895,000
$900,000
$905,000
$910,000
$915,000
$920,000
$925,000
$930,000
$935,000
$940,000
$945,000
$950,000
$955,000
$960,000
$965,000
$970,000
$975,000
$980,000
$985,000
$990,000
$995,000
$1,000,000
to
No Maximum
$50,000
$55,000
$60,000
$65,000
$70,000
$75,000
$80,000
$85,000
$90,000
$95,000
$100,000
$105,000
$110,000
$115,000
$120,000
$125,000
$130,000
$135,000
$140,000
$145,000
$150,000
$155,000
$160,000
$165,000
$170,000
$175,000
$180,000
$185,000
$190,000
$195,000
$200,000
$205,000
$210,000
$215,000
$220,000
$225,000
$230,000
$235,000
$240,000
$245,000
$250,000
$255,000
$260,000
$265,000
$270,000
$275,000
$280,000
$285,000
$290,000
$295,000
$300,000
$305,000
$310,000
$315,000
$320,000
$325,000
$330,000
$335,000
$340,000
$345,000
$350,000
$355,000
$360,000
$365,000
$370,000
$375,000
$380,000
$385,000
$390,000
$395,000
$400,000
$405,000
$410,000
$415,000
$420,000
$425,000
$430,000
$435,000
$440,000
$445,000
$450,000
$455,000
$460,000
$465,000
$470,000
$475,000
$480,000
$485,000
$490,000
$495,000
$500,000
$505,000
$510,000
$515,000
$520,000
$525,000
$530,000
$535,000
$540,000
$545,000
$550,000
$555,000
$560,000
$565,000
$570,000
$575,000
$580,000
$585,000
$590,000
$595,000
$600,000
$605,000
$610,000
$615,000
$620,000
$625,000
$630,000
$635,000
$640,000
$645,000
$650,000
$655,000
$660,000
$665,000
$670,000
$675,000
$680,000
$685,000
$690,000
$695,000
$700,000
$705,000
$710,000
$715,000
$720,000
$725,000
$730,000
$735,000
$740,000
$745,000
$750,000
$755,000
$760,000
$765,000
$770,000
$775,000
$780,000
$785,000
$790,000
$795,000
$800,000
$805,000
$810,000
$815,000
$820,000
$825,000
$830,000
$835,000
$840,000
$845,000
$850,000
$855,000
$860,000
$865,000
$870,000
$875,000
$880,000
$885,000
$890,000
$895,000
$900,000
$905,000
$910,000
$915,000
$920,000
$925,000
$930,000
$935,000
$940,000
$945,000
$950,000
$955,000
$960,000
$965,000
$970,000
$975,000
$980,000
$985,000
$990,000
$995,000
$1,000,000
Are you currently working with a real estate professional to list
Yes
No
Are you currently working with a real estate professional to sell
Yes
No
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