Please complete this form to help us determine your needs.

Name

Email

Phone Number

Purchase or Rent? Purchase Rent

Rent seasonal or year round? Seasonal Year Round

Desired monthly rent

If purchasing, desired price

Desired monthly lot rent

Which Southwest Florida city (s) are you interested in?

Inland or coastal? Inland Coastal

HOME SPECIFICS- PLEASE INDICATE YOUR PREFERENCES

# OF BEDROOMS: 1 2 3 4

# OF BATHS: 1 2 3 4

Furnished? Furnished Unfurnished

Screened lanai?: Yes No

Carport (yes or no): Yes No

Utility/laundry room?: Yes No

COMMUNITY SPECIFICS- PLEASE INDICATE YOUR PREFERENCES

Small or large community: Small Large

Lake access: Yes No

Golf course : Yes No

Heated swimming pool : Yes No

Outdoor recreation area: Yes No

Clubhouse: Yes No

Planned social activities: Yes No

Lawn maintenance service: Yes No