Relocation Information

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 Personal Information
Name: (Required)
E-mail: (Required)
Address:
City:  State: Zip: 
Day telephone:
Evening telephone:
Fax:
 General Information About Your Move
Are you relocating? Yes    No
Where are you moving?   City:   State:  Zip: 
When do you anticipate to buy a 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
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Have you ever been pre-approved or pre-qualified for a mortgage? Yes  No
If yes, for how much?
Do you have a down payment? Yes  No
If yes, what is your maximum commitment?
Have you had a credit report done lately? Yes  No
If yes, any problems? Yes  No
Please use this space for any other comments or questions you might have.