HOME INFORMATION SURVEY

Name Address City State Zip Phone-Home Phone-Work Best Time To Call Are you Buying or Selling a Home Buying Selling Age of Home New 1-5 Years 6-10 Years 11-15 Years Doesn't Matter Type of Home Single Family Multi-Family Townhouse Condo Size of Home Under 2,000 sq.ft 1,200-1,900 sq.ft. 2,000 and over Number of Stories one two tri-level Doesn't Matter Number of Bathrooms one two three Doesn't Matter Number of Garages one two three Doesn't Matter Extra Amenities: Pool, Spa, Family Room Fire Place, Guest House Maximum Cash Available for Down Payment   Monthly Payment Range You Would Like Including Taxes and Insurance   When would You Like to Move and or Purchase? Type of Financing: Cash Conventional VA FHA Other Special Need or Wants:

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