Input form

Foreclosed Property Request Form

Please fill out this form telling us what type of property you would like us to setup a scan for you.

Remember property purchased using Gary Brakemeyer with Mathisen Realty will earn you a rebate of 1% of the purchase price over $100,000.

E-mail Address: *

First Name *

Last Name *

Your Street Address

Your City

Your State

Your Zip code

Your Phone number

Type of Property check any that apply *

Single Family
Condomium
Town Home
Other - specify

Other

Target City (If Chicago, provide zip code) *

Target Zip Code/s

Minimum Price *

Maximum Price *

Number of Bedrooms *

Number of Bathrooms *

Parking

Where did you hear about us

Craigslist
E-Bay
Google
Referral
Other - specify

If other, where