PLEASE FILL IN ANY SPECIAL NEEDS THAT YOU HAVE OR A FAMILY MEMBER SO THAT I MIGHT SERVE YOU BETTER

NAME NAME

ADDRESS CITY STATE ZIP

INTERNET ADDRESS

PHONE NUMBERS

ARRIVAL TIME TO HOUSE HUNT ARRIVAL TIME TO MOVE IN

PLEASE ANSWER YES OR NO TO THE FOLLOWING QUESTIONS:

ARE YOU WANTING TO BUY TO RENT

DO YOU NEED A HOME SET UP FOR THE HANDICAPPED

DO YOU HAVE A SPECIAL NEEDS CHILD

DO YOU NEED A ONE LEVEL HOME

DO YOU NEED TO BE CLOSE TO A HOSPITAL

DO YOU HAVE SOME CREDIT PROBLEMS AND NEED SPECIAL FINANCING

WHAT KIND OF FINANCING DO YOU NEED? VA FHA CONVENTIONAL SPECIAL FINANCING FOR CREDIT PROBLEMS DON'T KNOW, JUST NEED HELP

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