Name
Address
City
State/Zip
Home Phone
Work Phone
Email
What is your housing preference? 1 Bedroom 2 Bedrooms 3+ Bedrooms
Condo/Townhome Single Family Homes
What is your price range? $50,000 - $74,999 $75,000 - $99,999
$100,000 +
How soon would you
like to move? 		0-6 Months 6-12 Months Longer
Do you presently... Own Rent
Are you prequalified? Yes No
What is your annual
household income? 		$20,000 - $34,999 $35,000 - $49,999
$50,000 - $64,999 $65,000 +
How did you hear about us? Drive by/live in area INHP
Indy Star Internet
Postcard/Mailing
Friend/Relative
Other (please specify in Comments window
Are you working with a Real Estate agent? Please list name and agency
Comments
Sales and Marketing by AMS Realty
Sales center: 2927 E. Tabor Street, Indianapolis, IN 46203 • Phone 317-781-9800 • Fax 317-781-9801
Hours: Monday through Wednesday 10-4 • Saturday and Sunday from 12-4

For more information, fill-out the form below and a sales representative will contact you.