CENTURY 21 Maxum Realty Corp.

New Listing Update Profile

Please complete the following information so that we may be able to help you best locate a property that suits your needs.

I am interested in purchasing a (if you are interested in more than one of these options, please complete a separate form for each)

The home should be located in one of the following areas. (check all that apply)

Area #1 Middletown Wallkill Wawayanda Crawford Hamptonburg Goshen Minisink Greenville Deerpark Port Jervis Huguenot Warwick	Area #2 Florida Tuxedo Greenwood Lake Chester Sugarloaf Monroe Harriman Kiryas Joel Woodbury Blooming Grove Washingtonville Newburgh	Area #3 Cornwall-on-Hudson Cornwall Highlands Highland Falls Highland Mills West Point Bear Mountain
Area #4 Montgomery Walden Maybrook Sullivan Rockland Dutchess	Area #5 Circleville Pinebush Bullville New Windsor Walden

I am comfortable investing between
and

The home must have a minimum of bedrooms (above grade).

Garage

I would like to be in my new home within

I presently my home

I will consider any of the following home styles:
Any Style
Ranch
Two Story
New Construction
Colonial
High Ranch
Bi-Level
Mini Estate
One & Half Story
Contemporary

Personal Info
Please note: Fields in red are required.

First Name:

Last Name:

Mailing Address:

City:

State:

Zip Code:

Telephone:

Email:

Comments:

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