By initialing here we agree to keep the information confidential and not provide the information we receive to anyone other than the principals registered.
Primary Contact Name:
Cell #:
Email:
2nd Contact Name:
Copy Contact 2 on all preliminary emails: [radio copy_contact2 "Yes" "No" class:inline-options]
Current Address:
Best days/times to contact & Time Zone:
To find a rentalPrior to purchasing From: To:
To find a home to purchaseJust looking
Do you plan to sell your current home first? [radio sell_current_home "Yes" "No" class:inline-options]
Time frame of purchase:
We will reside in Florida: [radio reside_florida "Full time" "Part time" class:inline-options]
If part time: # months
House available for rent (months):
Planning to visit The Villages from:
To:
[checkbox travel_method use_label_element "Flying" "Driving" class:inline-options]
We will be staying at:
Referring Realtor (name):
Phone:
Village Sales Associate (name):
Loan Officer:
