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Name
(required):
E-mail
(required):
Address:
City:
State:
Zipcode:
Day
Telephone:
Evening
Telephone:
Fax:
General
Information About Your Move
Are
you relocating?
Yes No
Where
are you moving?
City:
State:
Zipcode:
When do you anticipate purchasing your new home?
Information
About The Home You Are Looking For
Type of Home:
Single Family
Condo/Townhouse
Multi-family
Mobile Home
Farm
Land Only
Approximately
priced between:
and
Number of
Bedrooms: 1
2 3 4 5 6+
Number of
Bathrooms:
1
2
3 4+
Interior
Features & Preferences:
Living Room
Yes No
Family Room
Yes No
Fireplace
Yes No
Hardwood Floors
Yes No
Den / Study
Yes No
Laundry Room
Yes No
Other
Important Interior Features:
Exterior
Features & Preferences:
Swimming pool
Yes No
Spa
Yes No
Waterfront
Yes No
Garage
Yes No
Tile roof
Yes No
Fenced
Yes No
Other
Important Exterior Features:
Additional
Information
Have you ever
been pre-approved or pre-qualified for a mortgage?
No Yes
If yes, for how much?
Do you have a
down payment?
No Yes
If yes, what is your maximum commitment?
Have you had
a credit report done lately?
No Yes If yes, any problems? Yes No
Please use
this space for any other comments or questions you might have.