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