Lori Bott

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	RELOCATING?
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Relocating to our area? Fill out this simple form so that we can make your move easier!

Name:

Address:

City:

State:

Zip:

Home Phone:

Work Phone:

Email:

Where Will You Be Relocating To?

Rent Own

Do you Rent or Own?

Yes No

Is your property listed?

Yes No

If not, would you like a free, no-obligation market evaluation done on 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

If yes, would you like our loan officer to contact you with information?

What is your preferred location?

What type of dwelling are you interested in?

Condo/Town Home
Single Family Home
Rental Apartment
Rental Home
Single Family w/acreage
Other

Price Range

What distance would you like from your place of employment?

within 10 miles
10-30 miles

Special Features Desired?

Active Military Duty

Rank/Grade

Time in Service

Estimated Move Date

Yes No

Do you have need for childcare information?

Additional Comments

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