Name ______________________________________________ Home Phone ________________
Address ___________________________________________ Bus. Phone _________________
City ________________________ State _____________________ Zip __________________
Company ________________________________ Division/Job Title_____________________
Transferring To_________________________________________________________________
Househunting Date _______________________Effective Transfer Date________________
New Office Location _______________________________________Phone _______________
Have you lived in this area before? Yes___No___ If so. where? __________________
Lodging When House Hunting______________________________________________________
HOME BUYING NEEDS
Type Home: New ________ Resale _______ Older _______ Condominium _______
Price Range of Present Home $ _________________ Price Desired __________________
Present Monthly Payment Including Principal,Interest Taxes & Insurance $________
Preferred Monthly Payment S __________________ Taxes Included? Yes ____ No____
Architectural Style Preferred___________________________________________________
One Story ______ Split Level _______ Multi-Story _____ Approx. Sq. Ft. _________
Number of Bedrooms _____ Number of Baths _____ Formal Living_____Dining_________
Family Room _____ Living/Den Combination_____ Game Room_____ Air Cond.______
Swimming Pool _____ Attic ______ Fireplace______Lot Size _______________
Kitchen Appliance Requirements: Range and Oven ____ Dishwasher ____ Other ______
QUESTION: How soon will you be wanting to move into your NEW HOME? __________
Sell First _______ Rent _______ Consider Trade _______ Urgency ___________
Reason for Buying ______________________________________________________________
Financing Preferred: Fixed ____ ARM _____Other______ Amount Down $ _______
QUESTION:If new financing is required we will need your approximate monthly
income figures.
BUYER: Weekly ____________ Monthly ________ Annually_________
Employer Type Work _________________ How Long __________________
CO-BUYER: Employer _____________________________________
Monthly _________________ Type Work ______________ How Long _________
OTHER___________________________________________________________________________