E-mail Address: *
Please confirm your email address *
Last Name, First Name? *
Telephone Number? *
Current Occupation? *
Are you changing occupations within next 6 months? *Yes, I will be changing occupations
No, there is no occupation change associated with this move.
Number of family members who will be living in home?
Any special needs or requirements?Yes, we have special needs.
No, no special needs that we know of.
Number of bedrooms needed? *
Number of bathrooms needed? *
Do you need outside storage?Yes, we do need outside storage.
No, we do not have to have outside storage.
Would you like a garage? *No, no garage needed, but if we find a home we like with one, it will be okay.
Yes, a garage is desired
Would you like fencing on the property?
We have pets/children, a fence would be a very good idea.
No, no fence needed, we like to see the neighbors.
Are city provided services important to you? *Yes, I need to be close so I can use city services.
No, I do not need/want city services.
Is there a certain area or school district you are interested in? *Yes, I definetely want to be in this school district.
No, any are fine as long as they are known.
Name of area or school district?
How big would you like the lot size to be?
Are there animals in the family?Yes, we have furry family members.
No, no pets at this time.
What type of animals do you have?
Would you like to live in a neighborhood or would you like the property to be a stand alone? *Neighborhoods are fine with me.
No, I want to be on my own property without close neighbors.
Will you have to sell a property for this purchase? *Yes, I will have to sell my property to purchase another.
No, I am quialified to purchase a property without selling the one I currently own.
Is there a certain date that you MUST be moved by? If not, the date that you would like to be in your new home? *
Have you spoken with a lender about your decision to find your dream home? *Yes, I have spoken with a lender in regards to this move.
No, I dont know any, could you recommend one for me?
By clicking the submit button I understand that I may be contacted by a Century 21 Family Realty real estate representative *

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