Relocation Form

Complete this form and let us find the perfect home for you.

ABOUT YOU

Name:

Address:

City:

State:

Zip Code:

Daytime Telephone Number:

Evening Telephone Number:

E-Mail Address:

RELOCATION INFORMATION

Are you relocating?	Yes No
Where are you moving?
When do you anticipate purchasing your new home?

DESCRIBE YOUR DREAM HOME:

Type of Home:
Single Family Mobile Home Condo/Townhouse Farmhouse

Approximate Price Between and

Number of Bedrooms: 1 2 3 4 5 6+

Number of Bathrooms: 1 2 3 4+

Interior Features and Preferences:

Living Room

Yes No

Family Room

Yes No

Den/Study

Yes No

Utility Room

Yes No

Sun Room

Yes No

Fireplace

Yes No

OTHER IMPORTANT INTERIOR FEATURES:

Exterior Features and Preferences:
Garage	Yes No	Workshop	Yes No
Swimming Pool	Yes No	Fenced	Yes No
Acreage	Yes No	Porch/Deck	Yes No

OTHER IMPORTANT EXTERIOR FEATURES:

Please use this space for any additional comments or questions
you may have.