Carriage Hills Realty, Inc.
1821 John Sims Parkway
Niceville, FL 32578

(800) 874-8929
(850) 678-5178
FAX 678-5232
realtor@carriagehills.com
Rentals (850) 678-9448

  Information is for Carriage Hills Realty, Inc. use only.

Information will NOT be released outside Carriage Hills Realty without your consent.

Disclosure Statement Required by FL Law.

Would you like a free area information video? Yes No
Would you like a free relocation package? Yes No

Title (e.g. Mr., Mrs., Ms., Capt, Sgt, Amn, Dr.)

First Name

Last Name

Spouse's First Name (please type "None" if appropriate)

Spouse's Last Name (if different, or leave blank if appropriate)

Title (e.g. Mr., Mrs., Ms., Capt, Sgt, Amn, Dr.)

Address 1

Address 2

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Zip Code

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Day Time Telephone: Area Code Number

Evening Telephone: Area Code Number

Do you require Rental Assistance? Yes No
Are you interested in new home construction? Yes No
Are you interested in purchasing an existing home? Yes No
Expected Date of Arrival?

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Please estimate the following so that we may assist you better.

Desired Number of: Bedrooms Bathrooms

Desired Square Footage (SF)?

Desired Price Range?
(a rule of thumb is $80-$100/SF to buy an existing 3BR/2BA home around Niceville or 50 cents/SF to rent)

Desired Monthly Payment?

Special Desires or Housing Requirements?

(e.g. waterfront, fenced yard, school or education, etc.)

Is there a particular Carriage Hills Realty listing that you are interested in?
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