When are you considering purchasing a home? This month Within the next 3 months Within the next 6 months Within the next year Within the next 18 months Within the next 2 years Where would you like to live? A family community A retirement community On land you already own On land we can provide What City and State is the home to be located in? Do you own land already? Yes No Location? How big of a home are you looking for? 2 Bedroom - 1 Bath 3 Bedroom - 1 Bath 3 Bedroom - 2 Bath 4 Bedroom - 2 Bath Bigger How many square feet are you looking for? 1000 sq.ft. - 1400 sq.ft. 1500 sq.ft. - 1900 sq.ft. 2000 sq.ft. - 2400 sq.ft. 2500 sq.ft. - larger Are you Working Retired If working where is your job? What do you do? What is your budget for a home (not including land) $80000 to 90000 $90000 to 100000 $100000 to 125000 $125000 to 150000 $150000 and up What is your budget for land? $10000 - 20000 $20000 to 30000 $30000 to 40000 $40000 to 50000 $50000 to 60000 $60000 to 70000 $70000 to 80000 $80000 to 90000 $90000 to 100000 What down payment can you make? 10% 20% 30% More What monthly payment would fit into your budget? $500 - 600 $600 - 800 $800 - 1000 $1000 - 1500 $1500 - 2000 Over $2000 Your Name  * Street Address  * City  * State  * Zip  * Email  * Phone  * May we have your permission to contact you with information about special deals in your price range and areas you're interested in? Yes No How would you prefer to be contacted? E-mail Regular mail Telephone If by phone what hours are best to call? If there is anything more you would like to tell us about your home buying needs please type it below. you may also use this space to ask us any questions you may have. Comment Security code:   * Do not enter anything in this field:

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