Want to Buy A Home Form Please fill out the following information so Modern Living can provide you with some listings: ( * ) Your Name and Email Address are a required fields. If required fields are not filled out this form will not work. Are you from out of town? Are you living here in the Ottawa area? Name:* Address: City: Province: Ontario Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut PEI Quebec Saskatchewan Yukon Postal Code: E-Mail: * Home Phone: Work Phone: Fax: Please, indicate or select any of the following items that apply to you... Which area of Ottawa are you thinking of moving to: When do you want to move? (Approximately) Are you presently working with a realtor? (yes/no) Age of home preferred: Price Range: from: to: Type of Residence: Bungalow Two Storey Three Storey Split Level Semi-Bungalow Hi-Ranch Link Semi-Detached Bungalow Semi-Detached Split Semi-Detached Two Storey Row Unit Apartment Court Home Garden Home Townhouse Garage: None Carport Single Double Triple Detached Attached Min. # of Bedrooms: Doesn't Matter One Two Three Four Five or More Min. # of Bathrooms: Doesn't Matter One Two Three Four or More Ensuite: Doesn't Matter Yes No Family Room: Doesn't Matter Basement Main Floor Basement: Doesn't Matter Unfinished Partly Finished Fully Finished Laundry Room Level: Flooring: Doesn't Matter Carpets Hardwood Fuel: Doesn't Matter Natural Gas Oil Electric Basebord Other Appliances: Doesn't Matter Yes No Air: Doesn't Matter Yes No Fireplace: Doesn't Matter Yes No Pool: Doesn't Matter Above Ground In-Ground Pool Please include any special features you might want with the house. (i.e. appliances, alarm system, central vacuum, dishwasher, etc.)    © 2011 - Modern Living Realty Inc., Brokerage Designed and maintained by: John Smillie / Lasting Impressions