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Relocation Wish List
Quality Client Relocation Profile:
*
Name:
Current Address:
*
City, State or Zip:
Home Phone
Work Phone:
*
Email:
Expected Arrival Date:
Transfer Date:
Are you familiar with the Northern California and Northern Nevada regions?
Yes
No
Do you presently own or rent?
Own
Rent
Is your property listed?
Yes
No
If not, would you like a free no obligation market evaluation done on your home?
Yes
No
Do you need to sell before you buy?
Yes
No
Do you need to be pre-qualified for a mortgage loan?
Yes
No
If yes, would you like our loan officer to contact you with information?
Yes
No
What is your preferred location:
What type of dwelling are you interested in?
Select Type
Condo/Town Home
Single Family Home
Rental Apartment
Rental Home
How many bedrooms are you interested in?
Select
2 Bedroom
3 Bedroom
4+ Bedroom
How many bathrooms are you interested in?
Select
2 Bath
3 Bath
4+ Bath
Price Range:
Select a price range
150,000 - 200,000
200,000 - 300,000
300,000 - 500,000
500,000+
Desired Monthly Payment:
What distance would you like from your place of employment?
Select
Within 10 Miles
10-30 Miles
More than 30 Miles
Special Features Desired:
Number in family:
Number of adults:
Number of children:
School Requirements:
Would you like to receive information on the area's public schools?
Elementary
Jr. High
High School
Colleges/Universities
Would you like to receive information on the area's private schools?
Elementary
Jr. High
High School
Colleges/Universities
Would you like to receive information on the area's parochial schools?
Yes
No
If yes, what denomination:
Do you have a need for childcare information?
Yes
No
Is There Any Additional Information You Would Like To Receive?
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