Real Estate Buyer Request Form

Enter your information here (*is a required field)
Press the "send" button to submit

*Select your preferred location (s)
		Northport Village Northport Ft. Salonga East Northport Commack
Centerport Greenlawn Huntington Bay Huntington

*What is your price range?	What style home would you like?
# of Bedrooms # of Bathrooms Garage Size	Lot Size Preference Do you require a pool? Yes No
Are you pre-approved for a mortgage? Yes No	Would you like pre-approval assistance? Yes No
Do you currently own a home? Yes No	*How would you like us to contact you? Email Day phone number Evening phone number
Do you require: Waterview Waterfront Cul de sac	*What is your time frame? Immediately Within 6 months 6 to 12 months 12-24 months

Provide us with your contact information

* Name: First/Last
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone (include area code)	ext.
*Home Phone (include area code)
FAX
*E-mail
Provide additional instructions or information here

Upon receipt of your request, you will be contacted by your selected method
Thank you for using the "find me a home" form

Privacy Statement
Information submitted on this form is kept strictly confidential between the applicant (you) and Distinctive Properties (us). No information submitted from this form will be disclosed to any third party without your prior written consent and approval.

Distinctive Properties, licensed real estate broker
Member of Long Island Board of Realtors and MSL Service of Long Island