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Home Phone: 
Work Phone: 
Where Will You Be Relocating To?
Do you Rent or Own?
Rent Own
Is your property listed?
Yes No
If not, would you like a free, no-obligation market evaluation done on your home?
Yes No
Do you need to sell before you buy?
Yes No
Do you need to be pre-qualified for a mortgage loan?
Yes No
If yes, would you like our loan officer to contact you with information?
Yes No
What is your preferred location?
What type of dwelling are you interested in?
Condo/Town Home
Single Family Home
Rental Apartment
Rental Home
Single Family w/acreage
Price Range
What distance would you like from your place of employment?
within 10 miles 10-30 miles
Special Features Desired?
Active Military Duty

Time in Service
Estimated Move Date
Do you have need for childcare information?
Yes No
Additional Comments
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Shea Realtors Montana Real Estate PRIVACY I MEMBER AGENTS I CONTACT

Shea Realtors, PLLC®
1900 Harrison Avenue
Butte, MT 59701
PH: 406-723-5455
FAX: 406-782-8600
Shea REALTORS® is an Independently Owned & Operated Montana Company. An Equal Opportunity Broker.
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