| Full Name:*
|
|
| Where did you
hear about us:
|
|
|
Best Ph# to Contact You: *
|
|
|
Alternative Phone Number:
|
|
|
Email: *
|
|
| If
you are looking at a specific property of ours, please provide that
property information:
|
|
Property Address:
|
|
|
City:
|
|
| What
are you looking for:
|
|
Rent-to-Own, Lease/Purchase, Owner Financing:
|
|
| Where do you wish to live?
(Please indicate first and secondary choices.):* |
|
|
Bedrooms:
|
|
|
Bathrooms:
|
|
| Can you remodel
or do some fix-up work yourself?:
|
|
| Financing Information:
|
| Financing:
|
|
|
How's your credit:* |
Excellent
Good
Fair
Ugly |
|
|
|
How much do you have budgeted monthly for your next home? (in other words, your
maximum monthly payment)* |
|
|
How much do you have for a down payment:* |
|
| How soon would
you like to move in: * |
|
| Comments:
|
|
| Optional but helpful: |
|
| Your Address |
|
| Your City
|
|
| Your State
|
|
| Your Zip Code
|
|
| Your Fax
|
|
|
|
|
|
|
|
|
Please press submit only
once. You'll be directed to a new page once the submission has
completed.
|