Relocation

Name:

Street Address:

City, State, Zip Code:

Home Phone:

Cell Phone:

Email:

What City would you like to move to?

Do you rent or own your home?

Rent

Own

Is your home listed?

Yes

No

If no, would you like a free market evaluation for 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

What type of dwelling are you interested in?

Rental Apartment

Condo / Town House

Single Family Home

Single Family Home w/ Acreage

Other

What kind of special features are you looking for?

What is your price range?

How far would you like to live from work?

Less than 10 miles

10 - 30 miles

More than 30 miles

About where do you work?

Are you Active Military?

Yes

No

Rank / Grade

How long have you served?

How long do you think you will be assigned here?

Do you need information about child care?

Yes

No

What else can I help with?

Meet your Agent

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