Housing Needs Checklist

Housing Needs Checklist

Please Share some information with me so I can design a personalized package just for you!.

Let me know the best way to get in touch - e-mail... snail mail... phone or pager. Give me an idea of your housing and school needs - and let me know if there is any special information I can get for you!

When you're done just click on the submit button at the bottom of the page and I'll get back to you right away! Please note that any boxes that have an asterisk * next to them must be filled in. Thanks!

* Name
Street Address
Address (cont.)
City
State
Zip Code
Work Phone
* Home Phone
Pager
FAX
* E-mail

Presently I: (pick one)
I must sell before I relocate:	Yes No
My home is currently on the market:	Yes No
I prefer to: (pick one)
I prefer a: (pick one)
I want my monthly mortgage payment to be somewhere between	$ and $
My purchase price range is: (pick one)
number of bedrooms desired:
number of baths desired:
I NEED these special features: (garage, fireplace, etc.)
I WANT these special features: (pool, wtaerfront, etc.)
Other needs: (schools, etc.)
Particular City or neighborhood I am interested in:
I expect to be checking the area around: (give date)
I expect to be relocating to the area around: (give date)
Have you spoken to a mortgage loan officer yet?	Yes No
Have you been pre-approved for a mortgage?	Yes No
Would you like me to put you in contact with a local loan officer?	Yes No
How many REALTORS® have you contacted?
Are you currently working with another REALTOR®?	Yes No
Are you familiar with exclusive Buyer Representation?	Yes No
Would you like me to pr4ovide you with Buyer Representation Information?	Yes No
Would you like a personalized relocation package based on the information you just provided?	Yes No

Carmen Mills, Associate Broker, ABR, GRI, ePro
195 S. Rosemont Road, Suite 109
Virginia Beach, VA 23452
Phone: (757) 439-6047
CMHomeSelr@aol.com
Licensed in the State of Virginia

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