* Your Name:
Spouse's Name:
* Email Address:
Mailing Address:
Apt, PO Box, etc:
City:
State:
Zip:
Home Phone:
Your Work Phone:
Spouse's Work Phone:
Fax:
Selling A
Home
Type of home none Ranch Split Level Victorian
Age of Home In years
Bedrooms 0 1
2 3 4 / Baths 0 1
2 3 4
5
Are your moving plans
definite? Yes or No
How long have you
owned it?
When do you plan on
moving?
Buying A
Home
Describe the features that you would
like in your new home. Check all that apply and
skip those unimportant to you.
Type of
environment:
Zoned for
horses City Suburbs
Preferred Area:
Type of
Neighborhood:
New
homes/development Mature area Near Base
Type of home
site:
Flat
yard Low maintenance
Views Large lot
Home
Requirements
Number of
bedrooms:
Master BR
size: sq ft Same
level as children
Number of
bathrooms:
Master
suite w/ bath Master
suite on main level
Kitchen Size:
sq ft Central island
Eating space Gourmet kitchen
How many garage
spaces do you need?
Space
needed for RV or boat, etc.
Maximum commute to
work:
minutes
Price
range
Minimum:
$
Maximum:
$
Total mortgage
payment:
$
Down payment:
$
Please describe the 5 most
important things you are looking for in a new
home: