Request Relocation Information

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 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
Fire Place   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?  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.