| Name: | test |
| Address: | |
| City: | |
| State: | |
| Zip: | |
| Phone: | (W) (C) (H) |
| Email address(es): | |
Why are you moving?
Describe current home, including what you love and what is missing:
Any oversized furniture or unusual items that need to be considered in your home selection?
If you currently own:
Will it be necessary to sell your home to buy the next one?
Is your current home on the market?
If no, would you like a Price Trend Analysis to determine the value of your home?
If you are renting:
What is your monthly rent?
Are you in a lease?
If so when does it expire?
My New Home
Profile of My New Home Needs/Desires
| Desired Features | Locations of Interest | Schools Needed | Commuting Needs |
| Style | Towns | Day Care | Walking distance |
| #BRs | | Pre-K | Car |
| # Baths | | Elementary | Car pool |
| Garage | | Middle | Highways |
| Lot size | | High | Bus |
| Eat-in Kitchen | | Private | Train |
| Dining Rm | Developments | Public | Other |
| Family Rm | | Other | |
| Deck/patio | | | |
| Central Air | | | Shopping Needs |
| Fireplace | | | Convenience Stores |
Other Amenities | | | Grocery Stores |
| | Other | | Shopping Mall |
| | | | Outlets |
| | | | Other |
| | | | |
| | | | |
| | | | |
Have you been pre-approved for a Mortgage? Yes
If Yes, Please provide contact info.