Would you like us to contact you?

Please feel free to share as much information as you'd like below. We'll be sure to call you as promptly as possible.

The Couch Realty team thanks you for giving us the opportunity to earn your business.

What type of property are you looking for?

Lease/rental Own Lease to own
Type of property

          Townhome Condominium Apartment Duplex                  

          House Farm Ranch (Land only)                  

What is your expected timeframe to move into this property?

Approximate Date:

Approximately how many square feet will you need (living space - garage not included)


Price Range (Please specify your desired range. Feel free to include any additional price considerations.)

Age of home


How many stories?


How many bedrooms?


How many bathrooms?

Garage requirements


Living areas


Additional requirements (game room, multimedia room, private office, library, etc.):

How did you hear about us?

Please specify (as appropriate):

Tell us how to get in touch with you:


Copyright 2008 Couch Realty. All rights reserved.
Revised: April 05, 2008 .